Provider Demographics
NPI:1750505293
Name:BT MORGAN DENTAL CORP
Entity Type:Organization
Organization Name:BT MORGAN DENTAL CORP
Other - Org Name:COASTAL DENTAL CARE AND THE DENTAL IMPLANT CENTER OF ORANGE COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BROOKS
Authorized Official - Middle Name:T
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-378-1549
Mailing Address - Street 1:18632 BEACH BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648
Mailing Address - Country:US
Mailing Address - Phone:714-378-1549
Mailing Address - Fax:714-378-1531
Practice Address - Street 1:2300 S. HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802
Practice Address - Country:US
Practice Address - Phone:714-750-3030
Practice Address - Fax:714-971-1708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty