Organization
MERIT DENTAL INC
Active
Other names
Merit Dental Sinking Springs
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ALTHOFF (MGR CREDENTIALING)
(715) 203-4689
Entity
Organization
Contact information
Practice address
803 MOUNTAIN HOME RD, SINKING SPRING, PA 19608-9319
(610) 678-2777
(610) 678-7447
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610-678-2777
—
PA
Enumeration date
12/15/2020
Last updated
12/15/2020
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