# MERIT DENTAL II - MICHIGAN, PC

> 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:** 1659894780
- **Authorized official:** CHAD HENDRICKS (DIRECTOR, PAYER STRATEGY)
- **Authorized official phone:** (612) 351-6876

## Contact information

- **Practice address:** 4189 HIGHLAND RD, WATERFORD, MI 48328-2136
- **Practice address phone:** (248) 682-9653
- **Practice address fax:** (248) 682-9266
- **Mailing address:** 680 HEHLI WAY, MONDOVI, WI 54755-1639
- **Mailing address phone:** (715) 598-2311
- **Mailing address fax:** (715) 350-6855

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2017
- **Last updated:** 07/20/2017