Healthcare Provider Details

I. General information

NPI: 1902595986
Provider Name (Legal Business Name): MORGAN LOFLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4622 OLEANDER DR
WILMINGTON NC
28403-5149
US

IV. Provider business mailing address

1851 MACGREGOR DOWNS RD
GREENVILLE NC
27834-5925
US

V. Phone/Fax

Practice location:
  • Phone: 910-216-0370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14794
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: