Healthcare Provider Details

I. General information

NPI: 1467645101
Provider Name (Legal Business Name): JARED M MERIN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 02/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 N 5TH STREET HWY
READING PA
19605-2802
US

IV. Provider business mailing address

401 COMMERCE DR SUITE 108
FT WASHINGTON PA
19034-2714
US

V. Phone/Fax

Practice location:
  • Phone: 610-371-8844
  • Fax: 610-371-8883
Mailing address:
  • Phone: 267-460-4254
  • Fax: 215-646-6166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS 037321
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: