Individual
DR. CHARLES MAX MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2424 DANVILLE ROAD SUITE O, DECATUR, AL 35603
(256) 351-7707
(256) 351-7729
Mailing address
P.O. BOX 1287, HARTSELLE, AL 35640
(256) 773-1407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2573
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
836007
UNITED CONCORDIA
AL
01
—
94685
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
10/17/2006
Last updated
07/08/2007
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