Healthcare Provider Details

I. General information

NPI: 1427019082
Provider Name (Legal Business Name): CHERYL MORGAN DMD, MS, FABP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL ANETTE RILEY DMD, MS

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT OF THE ARMY, DENTAL ACTIVITY STOP B 2817 REILLY RD, MCDS-NA-B
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

DEPT OF THE ARMY, DENTAL ACTIVITY STOP B 2817 REILLY RD, MCDS-NA-B
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-643-2196
  • Fax: 910-396-7017
Mailing address:
  • Phone: 910-643-2196
  • Fax: 910-396-7017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number6926
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number4402
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: