Individual
DR. TIMOTHY JAMES MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 SOUTH MAIN ST, WEST BEND, WI 53095
(262) 338-0022
(262) 338-7982
Mailing address
W147N9887 RIMROCK ROAD, GERMANTOWN, WI 53022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3135
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33489400
—
WI
Enumeration date
11/01/2006
Last updated
03/07/2023
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