JERRY D. MERRELL


Address: 2028 Village Lane, #101, Solvang, CA 93463
Phone: 8056881155

JERRY D. MERRELL (NPI# 1063638393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063638393
Entity Type Individual
Full Name JERRY D. MERRELL
Credential DDS
Practice Address 2028 Village Lane
#101
Solvang
CA 93463
Practice Telephone 8056881155
Practice Fax Number 8056862699
Mailing Telephone 8056881155
Mailing Fax Number 8056862699
Enumeration Date 2007-04-17
Last Update Date 2015-04-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
56449 CA Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
11838 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE OF CALIFORNIA 56449 01

Office Location

Street Address 2028 VILLAGE LANE
#101
City SOLVANG
State CA
Zip Code 93463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124672605 Marcia Lou Mcfee Acupuncturist 2028 Village Lane, Ste. 203, Solvang, CA 93463 2019-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811470560 Beverly Raff Marriage & Family Therapist 2927 Deertrail Place, Solvang, CA 93463 2018-09-10
1659857928 Elite Eyecare Medical Group A Medical Corporation Eyewear Supplier (Equipment, not the service) 2040 Viborg Rd Ste 240, Solvang, CA 93463 2018-07-19
1801301932 Terrell Jensen White Psychologist 2511 School St, Ballard, CA 93463 2017-12-12
1578928297 Nikki Thibault Counselor 1693 Mission Dr # 204, Solvang, CA 93463 2015-12-22
1720423882 Eric Michael Bank Internal Medicine 2040 Viborg Rd Ste 140, Solvang, CA 93463 2013-05-02
1295002434 Santa Ynez Band of Mission Indians Community/Behavioral Health 680 Alamo Pintado Ste 202, Solvang, CA 93463 2011-11-16
1427363027 John H Adams Hearing Instrument Specialist 2027 Village Ln. #204, Solvang, CA 93463 2010-08-09
1548442890 Steven Wayne Lutzker Dermatology 2027 Village Lane, Suite 101, Solvang, CA 93463 2007-11-28
1548463938 Jean Lorraine Seamount Dentist 511 Fifth St, Solvang, CA 93463 2007-06-06
1518179472 Santa Ynez Valley People Helping People Community/Behavioral Health 545 N Alisal Road, Solvang, CA 93463 2007-05-04
Find all providers in zip 93463

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174008494 Jerry D Merrell, Dds Inc Dentist 2028 Village Ln Ste 101, Solvang, CA 93463-3222 2018-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942807979 Ayed Hawatmeh Dds Inc Dentist 322 E Foothill Blvd, Pomona, CA 91767 2020-10-02
1114533064 Alexander V. Antipov, D.d.s., Inc. Dentist 911 Reserve Drive, Suite 150, Roseville, CA 95678 2020-09-16
1609493170 Amir Haghshenas Dds Dentist 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 2020-07-01
1316568900 Beech & Reid Dental Partnership Dentist 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 2020-05-05
1518506773 Francisco Suarez, Dds Inc. Dentist 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 2020-01-04
1831748839 Slate Dental Corporation Dentist 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 2019-09-11
1255980140 Dr Maloux Macasaet Saguin Dental Corporation Dentist 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 2019-09-04
1891342267 Amrollahie and Riman Dental Partnership Dentist 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 2019-08-21
1548821572 Hoang Dental Corporation Dentist 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 2019-06-20
1073173860 Omfs Care Center Partners Dentist 215 N Fresno St Ste 490, Fresno, CA 93701-0000 2019-06-14
Find all providers with the same taxonomy

Competitor

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City SOLVANG
Zip Code 93463

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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