Individual
DR. JOHN MERGEN MERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1509 MALL DR STE 1, IOWA CITY, IA 52240-3111
(319) 688-0800
Mailing address
1509 MALL DR STE 1, IOWA CITY, IA 52240-3111
(319) 688-0800
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7784
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454603
—
IA
Enumeration date
10/17/2006
Last updated
07/08/2007
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