MEDICARE: JUDITH MERAN DDS

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	390200000X	Student in an Organized Health Care Education/Training Program
2	1223G0001X	General Practice Dentistry	DN29506	FL

General Provider Information

NPI Number	:	1477282457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH MERAN DDS

Provider Business Mailing Address
First Line	:	80 WILSON BLVD S STE 12
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-9386
Country	:	US
Telephone Number	:	239-431-8353
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 WILSON BLVD S STE 12
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-9386
Country	:	US
Telephone Number	:	239-431-8353
Fax Number	:

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

Provider Enumeration Date	:	06/06/2022
Last Update Date	:	09/23/2024

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Directions to “ JUDITH MERAN DDS” Practice Location

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