Provider Demographics
NPI:1023174679
Name:TRIGGS, MORGAN CHAD (DDS)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:CHAD
Last Name:TRIGGS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:M
Other - Middle Name:CHAD
Other - Last Name:TRIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PC
Mailing Address - Street 1:1650 OAK BROOK DR
Mailing Address - Street 2:SUITE 440
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093
Mailing Address - Country:US
Mailing Address - Phone:770-446-8000
Mailing Address - Fax:770-446-8000
Practice Address - Street 1:9775 MEDLOCK BRG RD SUITE 1
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097
Practice Address - Country:US
Practice Address - Phone:770-476-9595
Practice Address - Fax:770-476-4249
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0112691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice