Individual
DR. SCOTT J MERKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
34 JEROME AVE, SUITE 112, BLOOMFIELD, CT 06002-2463
(860) 242-0590
(860) 242-0873
Mailing address
34 JEROME AVE, SUITE 112, BLOOMFIELD, CT 06002-2463
(860) 242-0590
(860) 242-0873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4583
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4583
LICENSE NUMBER
CT
Enumeration date
01/22/2007
Last updated
07/08/2007
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