Healthcare Provider Details

I. General information

NPI: 1184609026
Provider Name (Legal Business Name): JAMES R MORGAN DDS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2005
Last Update Date: 11/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 N. CENTER POINT RD
HIAWATHA IA
52233
US

IV. Provider business mailing address

1275 N. CENTER POINT RD
HIAWATHA IA
52233
US

V. Phone/Fax

Practice location:
  • Phone: 319-743-0077
  • Fax: 319-743-0102
Mailing address:
  • Phone: 319-743-0077
  • Fax: 319-743-0102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number8116
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: