BRUCE ARTHUR MERRIAM


Address: 250 Patchogue Yaphank Rd, Suite 9, East Patchogue, NY 11772-4800
Phone: 6314753400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
028780-1 NY Dental Providers

Office Location

Street Address 250 PATCHOGUE YAPHANK RD
SUITE 9
City EAST PATCHOGUE
State NY
Zip Code 11772-4800

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City EAST PATCHOGUE
Zip Code 11772

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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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