Healthcare Provider Details

I. General information

NPI: 1659299329
Provider Name (Legal Business Name): FAM DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 MAYO RD STE 202
EDGEWATER MD
21037-1847
US

IV. Provider business mailing address

69 MAYO RD STE 202
EDGEWATER MD
21037-1847
US

V. Phone/Fax

Practice location:
  • Phone: 240-305-2310
  • Fax:
Mailing address:
  • Phone: 240-305-2310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCIS MORGAN
Title or Position: OWNER
Credential: DDS
Phone: 240-305-2310