Provider Demographics
NPI:1013159557
Name:MORGAN, KARA ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:ELIZABETH
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 365
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:AR
Mailing Address - Zip Code:71663
Mailing Address - Country:US
Mailing Address - Phone:870-853-2548
Mailing Address - Fax:
Practice Address - Street 1:303 W. LINCOLN STREET
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646
Practice Address - Country:US
Practice Address - Phone:870-853-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR37501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice