MORGAN GONDER (NPI# 1548610926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548610926 |
| Entity Type | Individual |
| Full Name | MORGAN GONDER |
| Practice Address |
2925 Nail Rd E Unit 2 Southaven MS 38672-6707 |
| Mailing Address |
Po Box 1218 Oxford MS 38655-1218 |
| Practice Telephone | 6625363661 |
| Mailing Telephone | 6622344822 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4108-20 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902390784 | Morgan Gonder | Anesthesiology | Kumc 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2018-06-15 |
| Street Address |
2925 NAIL RD E UNIT 2 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225692213 | Roberts & Garza Orthodontics Services Pllc | Dentist | 946 Goodman Rd E, Southaven, MS 38671-8825 | 2019-04-25 |
| 1972623775 | Richard A. Williams | Dentist | 399 Southcrest Ct, Suite B, Southaven, MS 38671-4790 | 2007-03-29 |
| 1801921614 | Southern Orthodontic Specialists, P.C. | Dentist | 7732 Airways Blvd, Southaven, MS 38671-5306 | 2007-02-22 |
| 1144511916 | Nathan Reed Hamman | Dentist | 399 Southcrest Ct, Suite B, Southaven, MS 38671-4790 | 2011-04-27 |
| 1194056648 | David Ray Libby | Dentist | 7732 Airways Blvd, Southaven, MS 38671-5306 | 2010-01-22 |
| 1336470277 | Hunter B Harrison | Dentist | 7732 Airways Blvd, Southaven, MS 38671-5306 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200673 | Blake Denton Boleware | Dentist | 525 Thomastown Ln Ste A, Ridgeland, MS 39157-3440 | 2020-09-17 |
| 1386277291 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 | 2020-02-19 |
| 1194294652 | Roberts & Garza Orthodontics Services Pllc | Dentist | 101 N Industrial Rd Ste H, Tupelo, MS 38801-3441 | 2018-11-14 |
| 1689157588 | Hop Orthodontics | Dentist | 120 S 28th Ave, Hattiesburg, MS 39401-7151 | 2018-09-07 |
| 1508359340 | Legendary Orthodontics, LLC | Dentist | 3225 Audubon Dr, Laurel, MS 39440-1422 | 2018-06-06 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1114414802 | Magnolia Orthodontics | Dentist | 4348 Lincoln Road, Hattiesburg, MS 39402 | 2018-04-18 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1275086456 | Jessica Pongett | Dentist | 2408 S Lamar Blvd Ste 2, Oxford, MS 38655-5345 | 2016-07-25 |
| 1366822397 | Suzanna Ellzey Nida | Dentist | 4348 Lincoln Rd., Hattiesburg, MS 39402 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.