BRUCE ARTHUR MERRIAM (NPI# 1619150802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619150802 |
Entity Type | Individual |
Full Name | BRUCE ARTHUR MERRIAM |
Credential | DDS |
Practice Address |
250 Patchogue Yaphank Rd Suite 9 East Patchogue NY 11772-4800 |
Practice Telephone | 6314753400 |
Practice Fax Number | 6314753465 |
Mailing Telephone | 6314753400 |
Mailing Fax Number | 6314753465 |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
028780-1 | NY | Dental Providers |
Street Address |
250 PATCHOGUE YAPHANK RD SUITE 9 |
City | EAST PATCHOGUE |
State | NY |
Zip Code | 11772-4800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770576001 | Sharon Ann Pollick | Dentist | 250 Patchogue Yaphank Rd, Suite 10, East Patchogue, NY 11772-4800 | 2005-08-23 |
1902206725 | Christopher Joubert Dds PC | Clinic/Center | 250 Patchogue Yaphank Rd, Suite 9, East Patchogue, NY 11772-4800 | 2014-08-28 |
1811263585 | Alexander Julian Sanchez | Dentist | 250 Patchogue Yaphank Rd, East Patchogue, NY 11772-4800 | 2012-03-28 |
1245521673 | Mitul R. Patel M.d. P.C. | General Practice | 250 Patchogue Yaphank Rd, Suite 7, East Patchogue, NY 11772-4800 | 2011-04-19 |
1598080889 | Eric Knakal | Anesthesiology | 250 Patchogue Yaphank Rd, Suite 3, East Patchogue, NY 11772-4800 | 2010-03-30 |
1982729703 | Frank R. Egan | Dentist | 250 Patchogue Yaphank Rd, Suite 14, East Patchogue, NY 11772-4800 | 2007-03-20 |
1619028685 | Joanne K Raffel | Clinical Nurse Specialist | 250 Patchogue Yaphank Rd, Suite #7, East Patchogue, NY 11772-4800 | 2007-01-16 |
1346306750 | Suffolk Surgical Group, PC | Surgery | 250 Patchogue Yaphank Rd, Suite #17, East Patchogue, NY 11772-4800 | 2006-12-29 |
1861580912 | Brookhaven Eye Surgery, P.C. | Ophthalmology | 250 Patchogue Yaphank Rd, Suite 1, East Patchogue, NY 11772-4800 | 2006-10-11 |
1285732255 | Barbra J Seltzer | Dentist | 250 Patchogue Yaphank Rd, Suite 8, East Patchogue, NY 11772-4800 | 2006-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
Find all providers in zip 11772 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871736165 | Christopher Joubert | Dentist | 250 Patchogue Yaphank Rd Ste 9, East Patchogue, NY 11772 | 2009-04-15 |
1811263585 | Alexander Julian Sanchez | Dentist | 250 Patchogue Yaphank Rd, East Patchogue, NY 11772-4800 | 2012-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
Find all providers with the same taxonomy |
City | EAST PATCHOGUE |
Zip Code | 11772 |
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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.