Nicholas Merica, DMD
Individual provider Active NPI General Practice Dentistry · Cabool, MO
NPI 1831540780 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1831540780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2016021051 (MO)
- Practice address
- 530 Spruce Ave
Cabool, MO 65689-9712 - Phone
- (417) 962-3150
- Fax
- (417) 962-5839
- NPI assigned
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016021051 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merica Family Dental | Current |
Accepting new patients | |
| Cartwright, DMD & Dolenz, DDS, PC | General Practice | Past | Accepting new patients |
Locations
530 Spruce Ave
Cabool, MO 65689
Phone (417) 962-3150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2016021051 | MO | Yes |
Addresses
Primary practice location
530 Spruce Ave
Cabool, MO 65689-9712
Mailing address
PO Box 920
Cabool, MO 65689
Phone (417) 962-3150
Other providers in Cabool, MO
- Kabul Nursing Homes Inc
- Elizabeth Irene Kuster
- Lester E. Cox Medical Centers
- Ashtin Masters
- Merica Family Dental
- MNM Pharmacy, LLC
- John Wayne Morgan
- Diann Kay Panek
- James R Perry
- Ray Perry & Associates Optometrists Inc
All providers in Cabool, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.