Individual
DR. SCOTT VIDAR MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3755 SIXES RD, STE 100, CANTON, GA 30114-7842
(770) 704-1812
(770) 704-0379
Mailing address
415 CANDLER TRAIL, CANTON, GA 30114
(770) 704-9003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012
GA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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