| Merit Dental Inc. | |
|
128 W Oak St Frackville PA 17931-1718 | |
| (570) 874-1954 | |
| (570) 874-0433 |
| Full Name | Merit Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 128 W Oak St, Frackville, Pennsylvania |
| Authorized Official Name and Position | Diane Marie Brion-martin (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 7155982311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merit Dental Inc. 680 Hehli Way Mondovi WI 54755-1639 Ph: (715) 598-2311 | Merit Dental Inc. 128 W Oak St Frackville PA 17931-1718 Ph: (570) 874-1954 |
| NPI Number | 1487166799 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487166799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3139 (Wisconsin) | Primary |
Broad Mountain Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W Pine St, Frackville, PA 17931 Phone: 570-874-3981 Fax: 570-874-3981 | |
Schuylkill Mall Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Schuylkill Mall Dental, Route 61 At Interstate 81, Frackville, PA 18219 Phone: 570-874-3714 Fax: 570-874-3444 | |
David D. Paul, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 W Oak St, Frackville, PA 17931 Phone: 570-874-1954 Fax: 570-874-0433 |