MEDICARE: DR. ANDREA MERLANO DMD

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
1	1223G0001X	General Practice Dentistry	DN28102	FL

General Provider Information

NPI Number	:	1295410207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA MERLANO DMD

Provider Business Mailing Address
First Line	:	1671 W 38TH PL STE 1401
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7032
Country	:	US
Telephone Number	:	954-268-7497
Fax Number	:

Provider Business Practice Location Address
First Line	:	7507 NW 57TH ST
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2103
Country	:	US
Telephone Number	:	954-953-8300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2023
Last Update Date	:	06/19/2023

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