Individual
DR. ADAM SETH MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4280 LAVISTA RD STE C117, TUCKER, GA 30084-5315
(678) 688-4811
Mailing address
1067 VISTA TRL NE, ATLANTA, GA 30324-4615
(646) 265-8305
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
056657-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN016116
GA
Other
Enumeration date
06/25/2010
Last updated
04/27/2023
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