Healthcare Provider Details

I. General information

NPI: 1811209786
Provider Name (Legal Business Name): SEAN R MORGAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 RIO BRAVO BLVD SW STE 33
ALBUQUERQUE NM
87105-6043
US

IV. Provider business mailing address

1625 RIO BRAVO BLVD SW STE 33
ALBUQUERQUE NM
87105-6043
US

V. Phone/Fax

Practice location:
  • Phone: 505-877-5555
  • Fax: 505-212-0789
Mailing address:
  • Phone: 505-877-5555
  • Fax: 505-212-0789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019028372
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDD4151
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: