MEDICARE: MORGAN COLLINS DMD LLC

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

General Provider Information

NPI Number	:	1972450997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN COLLINS DMD LLC

Provider Business Mailing Address
First Line	:	7053 PROVIDENCE PARK DR S
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36695-4621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7053 PROVIDENCE PARK DR S
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36695-4621
Country	:	US
Telephone Number	:	251-635-1892
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MORGAN COLLINS
Credential	:	DMD
Telephone Number	:	205-901-8164

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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