Robert Sherman Merrill, DDS
Individual provider Active NPI Dentist · Augusta, WI
NPI 1073511416 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1073511416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2537-015 (WI)
- Practice address
- 112 S Stone St
Augusta, WI 54722-7221 - Phone
- (715) 286-2960
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2537-015 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christman Family Dental SC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2537-015 | WI | Yes |
Addresses
Primary practice location
112 S Stone St
Augusta, WI 54722-7221
Mailing address
112 S Stone St
P.O. Box 25
Augusta, WI 54722-7221
Phone (715) 286-2960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33416700 | Medicaid | WI |
Other providers in Augusta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.