| Merit Dental Inc. | |
|
421 Market St Freeport PA 16229-1121 | |
| (724) 295-5125 | |
| (724) 295-5126 |
| Full Name | Merit Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 421 Market St, Freeport, 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. 421 Market St Freeport PA 16229-1121 Ph: (724) 295-5125 |
| NPI Number | 1740791524 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740791524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3139-15 (Wisconsin) | Primary |