Provider Demographics
NPI:1184316846
Name:MORGAN-COTTRELL, EMILY DALE (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:DALE
Last Name:MORGAN-COTTRELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:DALE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:925 STONIE BRK
Mailing Address - Street 2:
Mailing Address - City:HARRAH
Mailing Address - State:OK
Mailing Address - Zip Code:73045-5602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20926 SE 29TH ST STE A
Practice Address - Street 2:
Practice Address - City:HARRAH
Practice Address - State:OK
Practice Address - Zip Code:73045-6610
Practice Address - Country:US
Practice Address - Phone:405-445-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7717122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist