Morgan Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

License

3872-16 Issued in MS

Legal business name

MORGAN DENTISTRY, PA

Practice address

1008 Mission Park Dr
Vicksburg, MS 39180-3735

Phone

(601) 629-4100

Fax

(601) 629-4101

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kaitlyn E Morgan, DMD

Title

Owner/Dentist

Phone

(601) 629-4100

Specialties & licenses 1

Addresses

Other names 1

• Ellis & Morgan Family Dentistry Doing business as

Practitioners 3

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

• Kaitlyn Ellis, D.M.D.

  • Dentist
  • Vicksburg, MS
  • NPI 1548611098
  NPD (past)
• Michael Barry Ellis, D.M.D.,P.A.

  • General Practice Dentistry
  • Vicksburg, MS
  • NPI 1619995743
  NPD (past)
• Max Keith Klaus, D.M.D.

  • Dentist
  • Flowood, MS
  • NPI 1447663497
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1972056240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 MISSION PARK DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803735",
            "telephone_number": "601-629-4100",
            "fax_number": "601-629-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MISSION PARK DR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803735",
            "telephone_number": "601-629-4100",
            "fax_number": "601-629-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-629-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "3872-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis & Morgan Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margret Moore, MS CCC-SLP
• Tanzania Mala Moore
• Thomas C Moore, MD
• Sheila Yvonne Moran
• Bonnie Lee Morehead, CFNP
• Margie Morgan, LMFT
• Pierce Mil Morgan, D.M.D
• Kayla Moriarty, LCSW
• Jeffrey Morris, MD
• Donald G Moses, M.D.

• Dentist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.