Provider Demographics
NPI:1639794779
Name:KELLEY, MORGAN BRETT (DDS)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:BRETT
Last Name:KELLEY
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:BRETT
Other - Last Name:HYPES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:400 VIRGINIA STREET
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901
Mailing Address - Country:US
Mailing Address - Phone:304-465-5361
Mailing Address - Fax:681-823-4107
Practice Address - Street 1:400 VIRGINIA STREET
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901
Practice Address - Country:US
Practice Address - Phone:304-465-5361
Practice Address - Fax:681-823-4107
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV44601223G0001X
WVWV44601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice