Provider Demographics
NPI:1295766566
Name:MORGAN, JAMES GUY (DDS, MS, MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GUY
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DDS, MS, MD
Other - Prefix:
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Mailing Address - Street 1:8701 W DODGE RD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3429
Mailing Address - Country:US
Mailing Address - Phone:402-392-1001
Mailing Address - Fax:402-391-5799
Practice Address - Street 1:8701 W DODGE RD
Practice Address - Street 2:SUITE 408
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3429
Practice Address - Country:US
Practice Address - Phone:402-392-1001
Practice Address - Fax:402-391-5799
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE38661223S0112X
NE12945174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Not Answered174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47063544800Medicaid
NE47063544801Medicaid
NE47063544801Medicaid