# MERIT DENTAL INC

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

## Provider details

- **NPI number:** 1851876445
- **Authorized official:** CHAD HENDRICKS (DIRECTOR, PAYER STRATEGY)
- **Authorized official phone:** (612) 351-6876

## Contact information

- **Practice address:** 343 W 10TH ST, ERIE, PA 16502-1491
- **Practice address phone:** (814) 464-0960
- **Practice address fax:** (814) 464-0969
- **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 |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2018
- **Last updated:** 09/28/2018