Merrill Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MERRILL SMILES LLC

Practice address

201 N Center Ave
Merrill, WI 54452-1265

Phone

(715) 536-7104

Fax

(715) 536-3759

NPI assigned

Feb 14, 2021

Last updated

Feb 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Bushong, DDS

Title

DDS/Owner

Phone

(715) 573-3546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613260800000",
    "number": "1093308769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521265",
            "telephone_number": "715-536-7104",
            "fax_number": "715-536-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521265",
            "telephone_number": "715-536-7104",
            "fax_number": "715-536-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "BUSHONG",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "715-573-3546",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Merrill, WI
• Providers in Merrill, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.