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MORGAN-MICHAELS FAMILY DENTISTRY LLC NPI 1013402981


NPI Information

NPI: 1013402981
Provider Name: MORGAN-MICHAELS FAMILY DENTISTRY, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2100 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-4114
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MORGAN-MICHAELS FAMILY DENTISTRY, LLC is a dental clinic center in Bloomington, IL. MORGAN-MICHAELS FAMILY DENTISTRY, LLC NPI is 1013402981. The provider is registered as an organization entity type.

The provider's business location address is:

2100 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701-321
Phone: (309) 663-4114
Fax: (309) 663-1275

The provider's authorized official is Courtney Morgan .
The authorized official title is President and has the following contact phone number (309) 663-4114.

The enumeration date for this NPI number is 6/24/2018 and was last updated on 9/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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