Provider Demographics
NPI:1952846297
Name:L. MORSE, DMD, P.C.
Entity Type:Organization
Organization Name:L. MORSE, DMD, P.C.
Other - Org Name:BAYSHORE DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:602-973-7050
Mailing Address - Street 1:PO BOX 5764
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85261-5764
Mailing Address - Country:US
Mailing Address - Phone:602-973-7050
Mailing Address - Fax:602-606-9906
Practice Address - Street 1:1100 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 7
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3171
Practice Address - Country:US
Practice Address - Phone:480-855-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4320261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental