Individual ProviderW K MorganDentistDental ProvidersPractice Address3445 Henderson Dr Ext, Jacksonville, NC 28546(910) 347-1283PECOS EnrollmentBased on the most recent information from CMS, provider W K Morgan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1164552519Provider TypeIndividualFull NameMorgan, W KTitleDr.CredentialDDS PAGenderMaleSole ProprietorNoEnumeration Date3/6/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3445 Henderson Dr Ext, Jacksonville, NC 28546Phone(910) 347-1283Fax(910) 347-2153Mailing LocationMailing Address3445 Henderson Dr Ext, Jacksonville, NC 28546Phone(910) 347-1283Fax(910) 347-2153Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense2661North CarolinaProvider IdentifiersIDDescriptionIssuerID015K3DescriptionOtherIssuerBCBSNorth CarolinaID96180DescriptionOtherIssuerBCBSNorth CarolinaID8996180DescriptionMedicaidIssuerUnlistedNorth Carolina