Toby O Merriman in Meridian - Pediatric Dentistry
Toby O Merriman - NPI 1407801939
Toby O Merriman is a Pediatric Dentistry in Meridian, Idaho. Toby O Merriman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Toby O Merriman is 1407801939. The last update date is 2008-06-05.
Toby O Merriman's current location address is 1550 E Heritage Park St, Meridian, Idaho. You can contact this provider via phone number 2082882719 and fax number 2082882579. The mailing address for Toby O Merriman is 1550 E Heritage Park St, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Toby O Merriman |
---|---|
Address | 1550 E Heritage Park St, Meridian, Idaho |
Phone Number | 2082882719 |
Fax Number | 2082882579 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1407801939 |
---|---|
Provider Enumeration Date | 2006-05-23 |
Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
Address | 1550 E Heritage Park St |
---|---|
City | Meridian |
State | Idaho (ID) |
Post Code | 836465886 |
Phone Number | 2082882719 |
Fax Number | 2082882579 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
---|---|
Taxonomy | 1223P0221X |
Licence No | D3592 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
D-3592-PD | ID | STATE DENTAL LICENSE | |
806274800 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Toby O Merriman by the Centers for Medicare & Medicaid Services?
The Toby O Merriman has been assigned the NPI (National Provider Identifier) 1407801939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Toby O Merriman's facilities are geographically located?
The facilities of Toby O Merriman are physically situated at the following location: 1550 E Heritage Park St, Meridian, ID, 836465886.
What is the Toby O Merriman's area of specialization and corresponding taxonomy classification?
The Toby O Merriman's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407801939 to Toby O Merriman?
The Centers for Medicare & Medicaid Services assigned the 1407801939 to Toby O Merriman on 2006-05-23.
As of what date were the Toby O Merriman's details last updated?
The information pertaining to the Toby O Merriman, including its address, specialty, and other details, was most recently updated on 2008-06-05.