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 --

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FAQs about Toby O Merriman

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.

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