# JEFFREY V. MERRIFIELD, D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295892115
- **Authorized official:** DR. JEFF MERRIFIELD D.D.S. (PRESTREAS)
- **Authorized official phone:** (408) 849-5333

## Contact information

- **Practice address:** 2664 BERRYESSA RD STE 116, SAN JOSE, CA 95132-2906
- **Practice address phone:** (408) 849-5333
- **Practice address fax:** (408) 929-5780
- **Mailing address:** 2664 BERRYESSA RD STE 116, SAN JOSE, CA 95132-2906
- **Mailing address phone:** (408) 849-5333
- **Mailing address fax:** (408) 929-5780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 18736 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 18736 | STATE DENTAL LICENSE | CA |