Merrily M Sandford, DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

18565 Issued in TX

Legal business name

MERRILY M SANDFORD, DDS, PA

Practice address

2303 Ranch Road 620 S
Suite 140
Lakeway, TX 78734-6219

Phone

(512) 263-8284

NPI assigned

Jan 10, 2017

Organization subpart

Yes

Parent organization

MERRILY SANDFORD, DDS, PAAs reported in NPPES

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

Authorized official

Name

Dr. Merrily M Sandford

Title

Owner / Dentist

Phone

(512) 263-8284

Specialties & licenses 1

Addresses

Part of

Merrily M Sandford DDS PA

Locations

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1053857367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 RANCH ROAD 620 S",
            "address_2": "SUITE 140",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346219",
            "telephone_number": "512-263-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 RANCH ROAD 620 S",
            "address_2": "SUITE 140",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346219",
            "telephone_number": "512-263-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILY M SANDFORD, DDS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERRILY SANDFORD, DDS, PA",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "SANDFORD",
        "authorized_official_first_name": "MERRILY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "512-263-8284",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "18565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L McKay, APRN-BC
• Callie McKimmey
• Susan Pauline McQuade, FNP
• Kathryn Burke McWilliams, M.S.
• Christie Mena, MA, NCC, LPC
• Adam Metcalf, PHARM. D
• Michael Archuleta MD PA
• Laura Miesse, PTA
• Easton Migl
• Laura S. Miller, MD

• Dental Clinic/Center in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.