Organization
NORFOLK DENTAL GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MERRITT DDS (PRESIDENT)
(402) 371-1360
Entity
Organization
Contact information
Practice address
1502 N 13TH ST, NORFOLK, NE 68701-2381
(402) 371-1360
(402) 371-1278
Mailing address
PO BOX 1203, NORFOLK, NE 68702-1203
(402) 371-1360
(402) 371-1278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025271500
—
NE
Enumeration date
11/13/2006
Last updated
08/22/2020
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