Provider Demographics
NPI:1972112225
Name:BYER, MORGAN LOUISE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LOUISE
Last Name:BYER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:LOUISE
Other - Last Name:EIDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:815 S. 154TH STREET
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154
Mailing Address - Country:US
Mailing Address - Phone:651-261-0008
Mailing Address - Fax:
Practice Address - Street 1:713 N 132ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4000
Practice Address - Country:US
Practice Address - Phone:402-431-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE76551223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice