Provider Demographics
NPI:1619395548
Name:STROUD, MORGAN LYNNE (DMD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LYNNE
Last Name:STROUD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5954 HARBOUR PARK DR.
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112
Mailing Address - Country:US
Mailing Address - Phone:804-739-1600
Mailing Address - Fax:804-739-9035
Practice Address - Street 1:5954 HARBOUR PARK DR.
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112
Practice Address - Country:US
Practice Address - Phone:804-739-1600
Practice Address - Fax:804-739-9035
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-28
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23459183500000X
NC11452122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No183500000XPharmacy Service ProvidersPharmacist