Individual
DR. THOMAS JON MERFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7517 DOUGLAS AVE, SUITE 8, URBANDALE, IA 50322-3075
(515) 270-8301
(515) 270-1209
Mailing address
7517 DOUGLAS AVE, SUITE 8, URBANDALE, IA 50322-3075
(515) 270-8301
(515) 270-1209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06686
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06686
STATE LICENSE NUMBER
IA
Enumeration date
01/14/2007
Last updated
07/08/2007
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