MEDICARE: ABIGAIL MORGAN DMD

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	122300000X	Dentist	0401419991	VA

General Provider Information

NPI Number	:	1699605931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL MORGAN DMD

Provider Business Mailing Address
First Line	:	4346 STARKEY RD STE 3
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-0605
Country	:	US
Telephone Number	:	540-989-3321
Fax Number	:

Provider Business Practice Location Address
First Line	:	4346 STARKEY RD STE 3
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-0605
Country	:	US
Telephone Number	:	540-989-3321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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