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Organization
MERIT DENTAL INC
Active
Organization
MERIT DENTAL INC
Active
Other names
Merit Dental Sinking Springs
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ALTHOFF (MGR CREDENTIALING)
(715) 203-4689
Entity
Organization
Contact information
Practice address
803 MOUNTAIN HOME RD, SINKING SPRING, PA 19608-9319
(610) 678-2777
(610) 678-7447
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610-678-2777
—
PA
Enumeration date
12/15/2020
Last updated
12/15/2020
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