Organization
TINA S. MERHOFF, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA SCOTT MERHOFF D.D.S. (OWNER)
(336) 659-9500
Entity
Organization
Contact information
Practice address
185 KIMEL PARK DR, SUITE 202, WINSTON SALEM, NC 27103-6973
(336) 659-9500
(336) 714-1017
Mailing address
185 KIMEL PARK DR, SUITE 202, WINSTON SALEM, NC 27103-6973
(336) 659-9500
(336) 714-1017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8628
NC
1223P0221X
Pediatric Dentistry
Primary
6747
NC
1223P0221X
Pediatric Dentistry
7595
NC
1223P0221X
Pediatric Dentistry
8552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89003T
—
NC
Enumeration date
08/27/2008
Last updated
08/27/2008
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