Individual
ALY HANY MORSHED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3518 E 15TH ST, PANAMA CITY, FL 32404-5831
(850) 872-4455
(850) 747-5660
Mailing address
3518 E 15TH ST, PANAMA CITY, FL 32404-5831
(850) 872-4455
(850) 747-5660
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
DN18413
FL
1223G0001X
General Practice Dentistry
Primary
08391
IA
1223G0001X
General Practice Dentistry
6513
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001389900
—
FL
01
—
01454
BLUE CROSS BLUE SHIELD
IA
01
—
05082
BLUE CROSSBLUE SHIELD
NE
01
—
08391
DELTA DENTAL
IA
05
—
10024989800
—
NE
05
—
1583088
—
IA
01
—
DN18413
FLORIDA LICENSE
FL
Enumeration date
12/27/2006
Last updated
02/18/2016
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