Provider Demographics
NPI:1790307304
Name:HESTER, MORGAN CAROLINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:CAROLINE
Last Name:HESTER
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 1:814 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-3820
Mailing Address - Country:US
Mailing Address - Phone:919-320-3584
Mailing Address - Fax:
Practice Address - Street 1:814 S 1ST ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3820
Practice Address - Country:US
Practice Address - Phone:919-320-3584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC118211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice