Michael M. Morgan, D.M.D, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11130 Issued in FL

Legal business name

MICHAEL M. MORGAN, D.M.D, PA

Practice address

2140 Lake Eustis Dr
Tavares, FL 32778-2064

Phone

(352) 742-3500

Fax

(352) 742-0668

NPI assigned

Jul 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Maynes Morgan, D.M.D.NPI 1023166675

Title

Owner

Phone

(352) 742-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Maynes Morgan, D.M.D.

  • Dentist
  • Tavares, FL
  • NPI 1023166675
  NPD (past) Authorized official
• William L Hendry, D.M.D.

  • General Practice Dentistry
  • Tavares, FL
  • NPI 1851516058

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1508207408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 LAKE EUSTIS DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782064",
            "telephone_number": "352-742-3500",
            "fax_number": "352-742-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 LAKE EUSTIS DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327782064",
            "telephone_number": "352-742-3500",
            "fax_number": "352-742-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. MORGAN, D.M.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MAYNES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-742-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073182000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael L Mishkin

• All providers in Tavares, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.