Provider Demographics
NPI:1396897831
Name:DR. JAMES A. MORGAN, D.D.S.,P.C.
Entity type:Organization
Organization Name:DR. JAMES A. MORGAN, D.D.S.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-374-8744
Mailing Address - Street 1:1375 E 800 N
Mailing Address - Street 2:SUITE 105
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4435
Mailing Address - Country:US
Mailing Address - Phone:801-374-8744
Mailing Address - Fax:801-374-9860
Practice Address - Street 1:1375 E 800 N
Practice Address - Street 2:SUITE 105
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4435
Practice Address - Country:US
Practice Address - Phone:801-374-8744
Practice Address - Fax:801-374-9860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1441339922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT688514OtherUNITED CONCORDIA PROVIDER
UT529218628006Medicaid