Individual
RYAN ANTHONY MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5445 TELEGRAPH RD STE 111, SAINT LOUIS, MO 63129-3500
(314) 892-2120
Mailing address
5445 TELEGRAPH RD STE 111, SAINT LOUIS, MO 63129-3500
(314) 892-2120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2024022889
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/04/2023
Last updated
06/18/2024
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