Alan E Merchanthouse, DDS

Individual provider Active NPI General Practice Dentistry · Rehoboth, MA

NPI 1093729469 · NPPES record last updated Jan 3, 2010

Key facts

NPI
1093729469
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
11919 (MA)
Practice address
66 Bliss St
Rehoboth, MA 02769-1902
Phone
(508) 252-4774
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11919 MA Yes

Addresses

Primary practice location

66 Bliss St
Rehoboth, MA 02769-1902

Mailing address

66 Bliss St
Rehoboth, MA 02769-1902
Phone (508) 252-4774

Other providers in Rehoboth, MA

All providers in Rehoboth, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.