Healthcare Provider Details

I. General information

NPI: 1669933149
Provider Name (Legal Business Name): MORGAN DORSEY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2019
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 MAIN ST
WILMINGTON DE
19804-3910
US

IV. Provider business mailing address

3559 SILVERSIDE RD APT 403
WILMINGTON DE
19810-4935
US

V. Phone/Fax

Practice location:
  • Phone: 302-998-0500
  • Fax:
Mailing address:
  • Phone: 302-562-7045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberG1-0011471
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: