Provider Demographics
NPI:1669618211
Name:LUKE M. MORGAN, D.D.S. AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:LUKE M. MORGAN, D.D.S. AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-884-8133
Mailing Address - Street 1:28095 THREE NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-3373
Mailing Address - Country:US
Mailing Address - Phone:301-884-8133
Mailing Address - Fax:301-884-0513
Practice Address - Street 1:28095 THREE NOTCH RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-3373
Practice Address - Country:US
Practice Address - Phone:301-884-8133
Practice Address - Fax:301-884-0513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty