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Organization
MERRITT PERIODONTICS P.C.
Active
Organization
MERRITT PERIODONTICS P.C.
Active
Other names
Associates in Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER R. MERRITT D.D.S. (OWNER)
(970) 221-5050
Entity
Organization
Contact information
Practice address
1120 EAST ELIZABETH STREET, SUITE G5, FORT COLLINS, CO 80524-4044
(970) 221-5050
(970) 221-5054
Mailing address
1120 EAST ELIZABETH STREET, SUITE G5, FORT COLLINS, CO 80524-4044
(970) 221-5050
(970) 221-5054
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8786
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8786
COLORADO DENTAL LICENSE DR. JOHNSON
CO
01
—
9625
COLORADO DENTAL LICENSE DR. MERRITT
CO
Enumeration date
04/24/2014
Last updated
03/27/2019
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