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Individual

DR. STEPHEN WYLIE MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
10 BURTON HILLS BLVD, NASHVILLE, TN 37215-6105
(615) 263-3854
(615) 565-9981
Mailing address
3317 COUNTRY CLUB DR, LYNN HAVEN, FL 32444-5130
(850) 832-0857

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30022972
OH
122300000X
Dentist
Primary
DN10576
FL
122300000X
Dentist
DS4308
TN

Other

Enumeration date
07/13/2016
Last updated
07/13/2016
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