Jerry D Merrell, DDS Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JERRY D MERRELL, DDS INC

Practice address

2028 Village LN Ste 101
Solvang, CA 93463-3222

Phone

(805) 688-1155

Fax

(805) 686-2699

NPI assigned

Oct 2, 2018

Last updated

Dec 21, 2018By 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

Dr. Jerry D Merrell, DDS, INC

Title

President

Phone

(805) 688-1155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1174008494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 VILLAGE LN STE 101",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934633222",
            "telephone_number": "805-688-1155",
            "fax_number": "805-686-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 VILLAGE LN STE 101",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934633222",
            "telephone_number": "805-688-1155",
            "fax_number": "805-686-2699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 E Ocean Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934367082",
            "country_code": "US",
            "telephone_number": "805-735-8700",
            "fax_number": "805-735-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JERRY D MERRELL, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-688-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, INC"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Delynn M. Jacobsen, LMFT
• Richard Wayne Jarrette, LMFT
• Jeffrey B Magnes MD
• Leslie Starr Jones, MFC
• Samantha Brenner Jones, D.D.S., M.D.
• Sara Schulze Jospeh, N.P.
• Aben Arthur Kaslow, D.D.S
• Dusty Lee Keegan, D.P.T.

• Oral and Maxillofacial Surgery (Dentist) in Solvang, CA
• Providers in Solvang, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.