Healthcare Provider Details

I. General information

NPI: 1851213375
Provider Name (Legal Business Name): KEVIN SCOTT MORDEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1647 ADMIRAL TAUSSIG BLVD
NORFOLK VA
23511-2803
US

IV. Provider business mailing address

2233 WESTSAIL LN
VIRGINIA BEACH VA
23455-2045
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-8591
  • Fax:
Mailing address:
  • Phone: 760-636-6095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113368
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: