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General NPI Number Information
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NPI Number | 1720318447
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Entity Type | Organization
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Legal Business Name | ALAN D. MERTA DDS, PA
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 12/15/2016
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Provider Practice Location Address
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Address Line | 1601 E ALTON GLOOR BLVD STE. 108
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3902
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Country | US
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Telephone | 956-621-3333
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Fax | 956-621-3336
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Provider Business Mailing Address
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Address Line | 1601 E ALTON GLOOR BLVD STE. 108
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3902
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Country | US
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Telephone | 956-621-3333
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Fax | 956-621-3336
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN DAVID ALAN D. MERTA DDS PA
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Credential | DDS
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Telephone | 956-621-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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