Active NPI
Phillip Hudson Merrill, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Dothan, AL
National Provider Identifier
1841213360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3110
- Practice address
- 2431 W Main St
Suite 701
Dothan, AL 36301-1201 - Phone
- (334) 793-9467
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3110 | AL | Primary |
Addresses
Primary practice location
2431 W Main St
Suite 701
Dothan, AL 36301-1201
Mailing address
2431 W Main St
Suite 701
Dothan, AL 36301-1201
Phone (334) 793-9467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3110 | AL | MD | Obesity and Weight Management Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841213360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 W MAIN ST",
"address_2": "SUITE 701",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011201",
"telephone_number": "334-793-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 W MAIN ST",
"address_2": "SUITE 701",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363011201",
"telephone_number": "334-793-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "PHILLIP",
"middle_name": "HUDSON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AL",
"license": "3110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- 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.