Annette E Merlino, DMD
Individual provider Active NPI Dentist · Delmont, PA
NPI 1467799775 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1467799775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0263890 (PA)
- Practice address
- 2370 Route 66
Delmont, PA 15626-1454 - Phone
- (724) 468-8502
- Fax
- (724) 468-6161
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151230001786 | PA | Order and Referring Only - Dentist |
0446552905 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0263890 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annette Merlino DMD, Inc. | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0263890 | PA | Yes |
Addresses
Primary practice location
2370 Route 66
Delmont, PA 15626-1454
Mailing address
2370 Route 66
Delmont, PA 15626-1454
Phone (724) 468-8502
Other providers in Delmont, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.