MEDICARE: ALY HANY MORSHED DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6513	NE
2	1223G0001X	General Practice Dentistry	08391	IA
3	1223D0001X	Public Health Dentistry	DN18413	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08391	OTHER	IA	DELTA DENTAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	05082	OTHER	NE	BLUE CROSSBLUE SHIELD
5	DN18413	OTHER	FL	FLORIDA LICENSE
6	01454	OTHER	IA	BLUE CROSS BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730244948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALY HANY MORSHED DDS

Provider Business Mailing Address
First Line	:	3518 E 15TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-5831
Country	:	US
Telephone Number	:	850-872-4455
Fax Number	:	850-747-5660

Provider Business Practice Location Address
First Line	:	3518 E 15TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-5831
Country	:	US
Telephone Number	:	850-872-4455
Fax Number	:	850-747-5660

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	02/18/2016

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Directions to “ ALY HANY MORSHED DDS” Practice Location

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