Provider Demographics
NPI:1528026135
Name:MORLEN, RICKEY ALLEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICKEY
Middle Name:ALLEN
Last Name:MORLEN
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 1:607 NORTH COMMONS VIEW DR.
Mailing Address - Street 2:
Mailing Address - City:HUFFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:77336
Mailing Address - Country:US
Mailing Address - Phone:706-421-9528
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMB BLVD
Practice Address - Street 2:DENTAL
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019023599122300000X
NMDD29001223S0112X
TX227621223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist