MEDICARE: MORGAN FAMILY DENTISTRY PLLC

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
1	1223G0001X	General Practice Dentistry	DN8938	FL

General Provider Information

NPI Number	:	1699907311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN FAMILY DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	313 N JEFFERSON ST
Second Line	:
City	:	PERRY
State	:	FL
Zip	:	32347-2653
Country	:	US
Telephone Number	:	850-584-2674
Fax Number	:	850-584-2738

Provider Business Practice Location Address
First Line	:	313 N JEFFERSON ST
Second Line	:
City	:	PERRY
State	:	FL
Zip	:	32347-2653
Country	:	US
Telephone Number	:	850-584-2674
Fax Number	:	850-584-2738

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARTHUR LAMAR MORGAN
Credential	:	D.M.D.
Telephone Number	:	850-584-2674

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	01/08/2010

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