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NPI Code Detail

MEDICARE: DR. ISAAC JOHN MORGAN DMD

MEDICARE: DR. ISAAC JOHN MORGAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)D0977SD

General Provider Information

NPI Number : 1194972877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ISAAC JOHN MORGAN DMD
Provider Business Mailing Address
First Line : 3415 5TH ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7365
Country : US
Telephone Number : 605-348-6818
Fax Number : 605-348-4690
Provider Business Practice Location Address
First Line : 3415 5TH ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7365
Country : US
Telephone Number : 605-348-6818
Fax Number : 605-348-4690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2008
Last Update Date : 11/13/2015

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