Active NPI
Ridge Morgan Gilley, D.D.S., M.S.
- Periodontics
- Bolling AFB, DC
National Provider Identifier
1447252481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12850
- Practice address
- 11TH Dental Squadron
238 Brookley Ave
Bolling AFB, DC 20032 - Phone
- (202) 404-6380
- Fax
- (202) 767-4091
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12850 | MD | Primary |
Addresses
Primary practice location
11TH Dental Squadron
238 Brookley Ave
Bolling AFB, DC 20032
Mailing address
14800 Pale Morning PL
Hughesville, MD 20637-2418
Phone (301) 274-3963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 3, 2023 through Apr 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12850 | MD | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garner D Morgan DDS PA & Associates | Past | Accepting new patients | |
| Luke M. Morgan, D.D.S. and Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Mechanicsville, MD
- NPI 1235206244
-
- General Practice Dentistry
- Mechanicsville, MD
- NPI 1669618211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447252481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14800 PALE MORNING PL",
"city": "HUGHESVILLE",
"state": "MD",
"postal_code": "206372418",
"telephone_number": "301-274-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11TH DENTAL SQUADRON",
"address_2": "238 BROOKLEY AVE",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "20032",
"telephone_number": "202-404-6380",
"fax_number": "202-767-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLEY",
"first_name": "RIDGE",
"middle_name": "MORGAN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MD",
"license": "12850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolling AFB, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.