Organization
FMY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN MERWIN DDS MS (PRESIDENT)
(731) 668-8922
Entity
Organization
Contact information
Practice address
460 N PARKWAY, JACKSON, TN 38305-2818
(731) 668-8922
(731) 668-2755
Mailing address
460 N PARKWAY, JACKSON, TN 38305-2818
(731) 668-8922
(731) 668-2755
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1445
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1512
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7090
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7775
TN
Other
Enumeration date
02/09/2006
Last updated
08/22/2020
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