Provider Demographics
NPI:1801419866
Name:MORGAN & LEMKE DDS MS INC
Entity Type:Organization
Organization Name:MORGAN & LEMKE DDS MS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HAYES
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:216-642-9111
Mailing Address - Street 1:6505 ROCKSIDE RD STE 310
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2386
Mailing Address - Country:US
Mailing Address - Phone:216-642-9111
Mailing Address - Fax:216-642-8801
Practice Address - Street 1:6505 ROCKSIDE RD STE 310
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2386
Practice Address - Country:US
Practice Address - Phone:216-642-9111
Practice Address - Fax:216-642-8801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty