# MERIT DENTAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Merit Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093173395
- **Authorized official:** JEFFREY MOOS DDS (PC OWNER)
- **Authorized official phone:** (715) 926-5050

## Contact information

- **Practice address:** 21 BALDWIN BLVD, SHAMOKIN DAM, PA 17876-9514
- **Practice address phone:** (570) 743-3300
- **Practice address fax:** (570) 743-7555
- **Mailing address:** 21 BALDWIN BLVD, SHAMOKIN DAM, PA 17876-9514
- **Mailing address phone:** (570) 743-3300
- **Mailing address fax:** (570) 743-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2016
- **Last updated:** 02/02/2016