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Mena Morgan, DMD

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Dayton, NJ

NPI 1194175737 · NPPES record last updated Sep 17, 2024

Key facts

NPI
1194175737
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
22DI02636800 (NJ)
Practice address
3 Rebecca CT
Dayton, NJ 08810-1311
Phone
(732) 947-6873
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22DI02636800NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan Orthodontics LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02636800 NJ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI02636800 NJ Yes

Addresses

Primary practice location

3 Rebecca CT
Dayton, NJ 08810-1311

Mailing address

3 Rebecca CT
Dayton, NJ 08810-1311
Phone (732) 947-6873

Other providers in Dayton, NJ

All providers in Dayton, NJ · Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

Sources for this page

Verify at the official NPI Registry.