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NPI 1215874391

NPI 1215874391 : MERZEAU DENTAL PA : HACKENSACK, NJ

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General NPI Number Information
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    NPI Number           |    1215874391
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    Entity Type          |    Organization 
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    Legal Business Name  |    MERZEAU DENTAL PA 
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Dates
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    Enumeration Date     |    04/29/2026
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    Last Update Date     |    04/29/2026
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Provider Practice Location Address
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    Address Line         |    953 MAIN ST APT C 
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    City                 |    HACKENSACK
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    State                |    NJ
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    Zip                  |    07601-5164
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    Country              |    US
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    Telephone            |    201-342-5929
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    Fax                  |    201-342-9208
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Provider Business Mailing Address
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    Address Line         |    953 MAIN ST APT C 
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    City                 |    HACKENSACK
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    State                |    NJ
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    Zip                  |    07601-5164
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    Country              |    US
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    Telephone            |    201-342-5929
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    Fax                  |    201-342-9208
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT/DENTIST
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    Name                 |    DR. HUMBERTO ANGEL MERZEAU 
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    Credential           |    DDS
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    Telephone            |    201-736-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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