Organization
MERRITT PERIODONTICS P.C.
Active
Other names
Associates in Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER R. MERRITT D.D.S. (OWNER)
(970) 221-5050
Entity
Organization
Contact information
Practice address
1120 EAST ELIZABETH STREET, SUITE G5, FORT COLLINS, CO 80524-4044
(970) 221-5050
(970) 221-5054
Mailing address
1120 EAST ELIZABETH STREET, SUITE G5, FORT COLLINS, CO 80524-4044
(970) 221-5050
(970) 221-5054
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8786
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8786
COLORADO DENTAL LICENSE DR. JOHNSON
CO
01
—
9625
COLORADO DENTAL LICENSE DR. MERRITT
CO
Enumeration date
04/24/2014
Last updated
03/27/2019
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