JERRY D MERRELL, DDS INC (NPI# 1174008494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174008494 |
| Entity Type | Organization |
| Organization Name | JERRY D MERRELL, DDS INC |
| Practice Address |
2028 Village Ln Ste 101 Solvang CA 93463-3222 |
| Practice Telephone | 8056881155 |
| Practice Fax Number | 8056862699 |
| Mailing Telephone | 8056881155 |
| Mailing Fax Number | 8056862699 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | DR. JERRY D MERRELL (PRESIDENT) |
| Authorized Official Telephone | 8056881155 |
| Authorized Official Credential | DDS, INC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 E Ocean Ave Ste E, Lompoc, CA 934367082 | 8057358700 | 8057358900 |
| Street Address |
2028 VILLAGE LN STE 101 |
| City | SOLVANG |
| State | CA |
| Zip Code | 93463-3222 |
| 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 Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063638393 | Jerry D. Merrell | Dentist | 2028 Village Lane, #101, Solvang, CA 93463 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 | ||||
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| 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.