# MERIT DENTAL INC

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

## Provider details

- **NPI number:** 1194311068
- **Authorized official:** BRENT ALTHOFF (MGR CREDENTIALING)
- **Authorized official phone:** (715) 203-4689

## Contact information

- **Practice address:** 803 MOUNTAIN HOME RD, SINKING SPRING, PA 19608-9319
- **Practice address phone:** (610) 678-2777
- **Practice address fax:** (610) 678-7447
- **Mailing address:** 680 HEHLI WAY, MONDOVI, WI 54755-1639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2020
- **Last updated:** 12/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 610-678-2777 | — | PA |