Provider Demographics
NPI:1982887592
Name:L MORSE DMD PC
Entity Type:Organization
Organization Name:L MORSE DMD PC
Other - Org Name:
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:480-857-9000
Mailing Address - Street 1:825 S COOPER RD
Mailing Address - Street 2:STE B9
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-7575
Mailing Address - Country:US
Mailing Address - Phone:480-857-9000
Mailing Address - Fax:
Practice Address - Street 1:825 S COOPER RD
Practice Address - Street 2:STE B9
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-7575
Practice Address - Country:US
Practice Address - Phone:480-857-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4320261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental