Healthcare Provider Details

I. General information

NPI: 1699605931
Provider Name (Legal Business Name): ABIGAIL MORGAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4346 STARKEY RD STE 3
ROANOKE VA
24018-0605
US

IV. Provider business mailing address

4346 STARKEY RD STE 3
ROANOKE VA
24018-0605
US

V. Phone/Fax

Practice location:
  • Phone: 540-989-3321
  • Fax:
Mailing address:
  • Phone: 540-989-3321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0401419991
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: