MEDICARE: GMORGAN DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	18850	TX

General Provider Information

NPI Number	:	1275830333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GMORGAN DENTAL PLLC

Provider Business Mailing Address
First Line	:	11682 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3612
Country	:	US
Telephone Number	:	281-564-8300
Fax Number	:	281-564-8303

Provider Business Practice Location Address
First Line	:	11682 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3612
Country	:	US
Telephone Number	:	281-564-8300
Fax Number	:	281-564-8303

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GEORGE G MORGAN
Credential	:	D.D.S.
Telephone Number	:	713-782-1800

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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