Healthcare Provider Details

I. General information

NPI: 1417652199
Provider Name (Legal Business Name): HALEY MORGAN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 CLEARVIEW PKWY
METAIRIE LA
70001-3422
US

IV. Provider business mailing address

16913 OLD SPANISH TRL
DES ALLEMANDS LA
70030-4210
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-4660
  • Fax:
Mailing address:
  • Phone: 504-400-7172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1417652199
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: