Provider Demographics
NPI:1831373737
Name:L. MORSE, DMD, P.C.
Entity type:Organization
Organization Name:L. MORSE, DMD, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
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 1:3439 W NORTHERN AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-6500
Mailing Address - Country:US
Mailing Address - Phone:602-973-7050
Mailing Address - Fax:
Practice Address - Street 1:3439 W NORTHERN AVE
Practice Address - Street 2:STE 2
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-6500
Practice Address - Country:US
Practice Address - Phone:602-973-7050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4320261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental