Provider Demographics
NPI:1295167427
Name:MORANG, JAMES ELLIS (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ELLIS
Last Name:MORANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-1435
Mailing Address - Country:US
Mailing Address - Phone:706-255-4128
Mailing Address - Fax:
Practice Address - Street 1:181 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-1435
Practice Address - Country:US
Practice Address - Phone:706-255-4128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN007220122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist