MEDICARE: DR. DEAN HARRY MERSKY 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	122300000X	Dentist	26207	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26207	OTHER	CA	LICENSE

General Provider Information

NPI Number	:	1760736318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN HARRY MERSKY DDS

Provider Business Mailing Address
First Line	:	300 GREEN ST
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-4923
Country	:	US
Telephone Number	:	215-348-2079
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 GREEN ST
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-4923
Country	:	US
Telephone Number	:	215-348-2079
Fax Number	:

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

Provider Enumeration Date	:	11/05/2012
Last Update Date	:	11/05/2012

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