Healthcare Provider Details

I. General information

NPI: 1407528375
Provider Name (Legal Business Name): ERROL MORGAN III DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2021
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101-217 BANKS RD #121-122
FAYETTEVILLE GA
30214
US

IV. Provider business mailing address

397 N CENTRAL AVE UNIT 4126
HAPEVILLE GA
30354-1699
US

V. Phone/Fax

Practice location:
  • Phone: 770-282-3746
  • Fax:
Mailing address:
  • Phone: 615-838-2870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN123002
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7268
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN123002
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: