Merritt Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5059 Issued in CT

Legal business name

MERRITT DENTAL LLC

Practice address

3715 Main St
409
Bridgeport, CT 06606-3618

Phone

(203) 373-9889

NPI assigned

Mar 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael W. Hill, DDSNPI 1902909856

Title

Owner

Phone

(203) 373-9889

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael W. Hill, DDS

  • General Practice Dentistry
  • Bridgeport, CT
  • NPI 1902909856
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1033484043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "address_2": "409",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-373-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MAIN ST",
            "address_2": "409",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063618",
            "telephone_number": "203-373-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-373-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050599",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Konyoh Mensah, M.D
• Yulan Melissa Menzie-Hackney, LPC
• Nirali Merchant
• Katie Lynn Merithew, PA-C
• Victoria Merrill, FNP-BC
• Merritt Orthopaedic Associates PC
• Esther M Mervil, APRN
• NA'Tasha Patisha Mesidor, LMSW
• Nicole Lara Messer, PA-C
• Amy B Mester, LCSW

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.