MEDICARE: DR. CHRISTOPHER DAVID 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	NM3265	NM

General Provider Information

NPI Number	:	1942336292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER DAVID MORGAN DMD

Provider Business Mailing Address
First Line	:	2201 BROTHERS RD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-6913
Country	:	US
Telephone Number	:	505-988-4119
Fax Number	:	505-988-1405

Provider Business Practice Location Address
First Line	:	2201 BROTHERS RD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-6913
Country	:	US
Telephone Number	:	505-988-4119
Fax Number	:	505-988-1405

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	06/29/2022

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