Provider Demographics
NPI:1609098995
Name:MORGAN, RICHARD S (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:S
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 S. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050
Mailing Address - Country:US
Mailing Address - Phone:513-539-7972
Mailing Address - Fax:513-360-0868
Practice Address - Street 1:456 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050
Practice Address - Country:US
Practice Address - Phone:513-539-7972
Practice Address - Fax:513-360-0868
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.01.85331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice