MEDICARE: NADEEM MERCHANT DMD, PS

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	122300000X	Dentist

General Provider Information

NPI Number	:	1386842722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NADEEM MERCHANT DMD, PS

Provider Business Mailing Address
First Line	:	3003 ISLAND CREST WAY
Second Line	:	SUITE 2
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2998
Country	:	US
Telephone Number	:	206-232-6200
Fax Number	:	206-232-6428

Provider Business Practice Location Address
First Line	:	3003 ISLAND CREST WAY
Second Line	:	SUITE 2
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2998
Country	:	US
Telephone Number	:	206-232-6200
Fax Number	:	206-232-6428

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NADEEM MERCHANT
Credential	:	DMD
Telephone Number	:	206-232-6200

Provider Enumeration Date	:	07/06/2007
Last Update Date	:	08/22/2020

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