| Merritt Dental Llc | |
|
3715 Main St 409 Bridgeport CT 06606-3618 | |
| (203) 373-9889 | |
| Not Available |
| Full Name | Merritt Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3715 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Michael W. Hill (OWNER) |
| Authorized Official Contact | 2033739889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merritt Dental Llc 3715 Main St 409 Bridgeport CT 06606-3618 Ph: (203) 373-9889 | Merritt Dental Llc 3715 Main St 409 Bridgeport CT 06606-3618 Ph: (203) 373-9889 |
| NPI Number | 1033484043 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 03/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033484043 | NPI | - | NPPES |
| 2050599 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5059 (Connecticut) | Primary |
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