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NPI Code Detail

MEDICARE: DR. STEPHANIE MARIE MERRILL DDS

MEDICARE: DR. STEPHANIE MARIE MERRILL DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30.024191OH

General Provider Information

NPI Number : 1578974457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE MARIE MERRILL DDS
Provider Business Mailing Address
First Line : 9682 CINCINNATI COLUMBUS RD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45241-1071
Country : US
Telephone Number : 513-779-7711
Fax Number : 513-779-7711
Provider Business Practice Location Address
First Line : 9682 CINCINNATI COLUMBUS RD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45241-1071
Country : US
Telephone Number : 513-779-7711
Fax Number : 513-779-7711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 10/09/2020

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