Healthcare Provider Details

I. General information

NPI: 1750067773
Provider Name (Legal Business Name): BRITTANY MORGAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 06/26/2023
Certification Date: 06/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DR
GAINESVILLE FL
32610-3006
US

IV. Provider business mailing address

910 SE 6TH AVE
POMPANO BEACH FL
33060-8142
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5651
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN28101
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: