Merrill Farr Dickson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS4623 Issued in TN

Practice address

910 Windsor Avenue
Merrill F Dickson DDS
Bristol, TN 37620

Phone

(723) 968-3188

Fax

(423) 968-3168

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801950654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WINDSOR AVENUE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "723-968-3188",
            "fax_number": "423-968-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WINDSOR AVENUE",
            "address_2": "MERRILL F DICKSON DDS",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "37620",
            "telephone_number": "723-968-3188",
            "fax_number": "423-968-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "MERRILL",
        "middle_name": "FARR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Michael Deal, DOCTOR OF PHARMACY
• Kimberly Annette Dean
• Katherine Ellen Debusk, MA
• Shali Nicole Denison, OTR/L
• Dental Associates of East Tennessee PLLC
• Chad Diminick, DDS
• James M Dixon, PHARM D
• Jonathan Dixon, D.O.
• Renee D Dixon, CRNA
• Tim DO, DO

• General Practice Dentistry in Bristol, TN
• Providers in Bristol, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.