Provider Demographics
NPI:1497993034
Name:MORGAN, WILLIAM JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 GIBSON BAY DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-3544
Mailing Address - Country:US
Mailing Address - Phone:859-623-8200
Mailing Address - Fax:
Practice Address - Street 1:1001 GIBSON BAY DR
Practice Address - Street 2:SUITE 204
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3544
Practice Address - Country:US
Practice Address - Phone:859-623-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41341223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics