Merit Dental Michigan PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MERIT DENTAL MICHIGAN PC

Doing business as

Merit Dental

Practice address

3060 W Centre Ave Ofc B
Portage, MI 49024-4825

Phone

(715) 926-5050

NPI assigned

Sep 16, 2013

Organization subpart

No

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

Authorized official

Name

Jeffrey Moos, DDS

Title

Owner

Phone

(715) 926-5050

Specialties & licenses 1

Addresses

Other names 1

• Merit Dental Doing business as

Locations

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1952737538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 HEHLI WAY",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551639",
            "telephone_number": "715-926-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 W CENTRE AVE OFC B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244825",
            "telephone_number": "715-926-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT DENTAL MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "MOOS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-926-5050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Clinic
• Kaitlyn Merasco
• Joselyn Mercado
• Denise Mergener, RPH
• Mark C Mering, PA-C
• Alan S Messinger, MD
• Christy Lynn Metzger, LMSW
• Michelle Meulman
• Caitlin Meyer
• Denise Lynn Meyer, PHARMD

• Dentist in Portage, MI
• Providers in Portage, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.