| New London Dental | |
|
63 E Main St New London OH 44851-1233 | |
| (419) 929-1544 | |
| (419) 929-0402 |
| Full Name | New London Dental |
|---|---|
| Speciality | Dentist |
| Location | 63 E Main St, New London, Ohio |
| Authorized Official Name and Position | Joshua D Merrill (OWNER) |
| Authorized Official Contact | 4199291544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New London Dental 63 E Main St New London OH 44851-1233 Ph: (419) 929-1544 | New London Dental 63 E Main St New London OH 44851-1233 Ph: (419) 929-1544 |
| NPI Number | 1164723763 |
|---|---|
| Provider Enumeration Date | 11/12/2010 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164723763 | NPI | - | NPPES |
| 1952508855 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30022573 (Ohio) | Primary |
Carratola & Merrill, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 E Main St, New London, OH 44851 Phone: 419-929-1544 Fax: 419-929-0402 |