MERIT DENTAL INC. (NPI# 1740791524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740791524 |
| Entity Type | Organization |
| Organization Name | MERIT DENTAL INC. |
| Other Organization Name | MIDWEST DENTAL FREEPORT |
| Practice Address |
421 Market St Freeport PA 16229-1121 |
| Mailing Address |
680 Hehli Way Mondovi WI 54755-1639 |
| Practice Telephone | 7242955125 |
| Practice Fax Number | 7242955126 |
| Mailing Telephone | 7155982311 |
| Mailing Fax Number | 7153506855 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | DIANE MARIE BRION-MARTIN (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 7155982311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3139-15 | WI | Dental Providers |
| Other Name | Type Code |
|---|---|
| Midwest Dental Freeport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487166799 | Merit Dental Inc. | Dentist | 128 W Oak St, Frackville, PA 17931-1718 | 2017-10-26 |
| 1508109117 | Merit Dental Inc. | Dentist | 222 Rosedale Dr, Manchester, PA 17345-1023 | 2013-04-02 |
| Street Address |
421 MARKET ST |
| City | FREEPORT |
| State | PA |
| Zip Code | 16229-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205994605 | Jeremy Edwin Ronge | Chiropractor | 996 Freeport Rd, Freeport, PA 16229 | 2006-12-05 |
| 1669639951 | Freeport Area School District | Local Education Agency (LEA) | 621 S Pike Rd, Freeport, PA 16229-0303 | 2008-05-22 |
| 1669929097 | Ryan Flick | Physical Therapist | 209 1st St, Freeport, PA 16229-1005 | 2016-09-01 |
| 1497744155 | John Henry Geist | Specialist/Technologist | 207 4th St, Freeport, PA 16229-1115 | 2005-10-17 |
| 1538137351 | Sakdidej Suwan | Internal Medicine | 419 Market St, Freeport, PA 16229-1121 | 2006-03-09 |
| 1336100643 | Freeport Medical Associates, Inc. | Internal Medicine | 419 Market St, Freeport, PA 16229-1121 | 2006-03-29 |
| 1356319172 | Nipapan Suwan | Pediatrics | 419 Market St, Freeport, PA 16229-1121 | 2006-03-09 |
| 1033289715 | Freeport Emergency Medical Services Inc | Ambulance | 400 Market St, Freeport, PA 16229-1122 | 2006-11-09 |
| 1821301334 | Amanda Renee Bender | Optometrist | 332 4th St, Freeport, PA 16229-1130 | 2010-07-26 |
| 1285855122 | Estate of Cecil D Furer Od | Optometrist | 332 Fourth Street, Box 367, Freeport, PA 16229-1130 | 2007-05-01 |
| Find all providers in zip 16229 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891165643 | Freeport Dental | Dentist | 1450 S West Ave, Freeport, IL 61032-6351 | 2015-10-05 |
| 1417247529 | Lindsay L Shirley | Dentist | 30 Blueberry Road, Freeport, FL 32439 | 2011-04-10 |
| 1588962971 | Long Island Family Dentistry | Dentist | 26 W Merrick Rd, Freeport, NY 11520-3827 | 2011-03-08 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1801060876 | Jose' Antonio Lazo | Dentist | 186 Atlantic Ave, Freeport, NY 11520-4923 | 2008-04-21 |
| 1447422456 | Freeport Dental, PC | Dentist | 117 W Sunrise Hwy, Freeport, NY 11520-3614 | 2008-03-31 |
| 1902081185 | Lorraine Ann Herrmann | Dentist | 268 W Merrick Rd, Freeport, NY 11520-3347 | 2008-01-07 |
| 1558573329 | Crispin Zapanta Ayroso | Dentist | 131 S Ocean Ave, Suite 5 & 6, Freeport, NY 11520-4548 | 2007-05-04 |
| 1730307240 | Jonathan Goold Strout | Dentist | 46 Mallett Dr, Freeport, ME 04032-1313 | 2007-04-22 |
| 1740305614 | Joseph H Wetherhold | Dentist | 348 Us Route 1, Freeport, ME 04032-7016 | 2007-03-20 |
| Find all providers in FREEPORT | ||||
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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.