Organization
MERRITT DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MERRITT DDS (OWNER)
(661) 549-3075
Entity
Organization
Contact information
Practice address
2918 W 10TH ST, GREELEY, CO 80634-5457
(970) 673-8411
Mailing address
2918 W 10TH ST, GREELEY, CO 80634-5457
(970) 673-8411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000157745
—
CO
Enumeration date
11/04/2021
Last updated
11/04/2021
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