Provider Demographics
NPI:1639309750
Name:STRAWN, MORGAN K (DMD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:K
Last Name:STRAWN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 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:985-630-1255
Mailing Address - Fax:803-751-6886
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:985-630-1255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8453122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist