Provider Demographics
NPI:1508402298
Name:MORGAN K. STRAWN, DMD, LLC
Entity Type:Organization
Organization Name:MORGAN K. STRAWN, DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:STRAWN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:985-630-1255
Mailing Address - Street 1:24 N CHURCH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1606
Mailing Address - Country:US
Mailing Address - Phone:808-242-0077
Mailing Address - Fax:
Practice Address - Street 1:24 N CHURCH ST STE 206
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1606
Practice Address - Country:US
Practice Address - Phone:808-242-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty