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NPI Code Detail

MEDICARE: DR. DAVID A MERINO DDS

MEDICARE: DR. DAVID A MERINO 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
11223G0001XGeneral Practice Dentistry14699OH

General Provider Information

NPI Number : 1821181645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID A MERINO DDS
Provider Business Mailing Address
First Line : 5212 W BROAD ST
Second Line : #201
City : COLUMBUS
State : OH
Zip : 43228-1642
Country : US
Telephone Number : 614-870-8474
Fax Number : 614-870-3348
Provider Business Practice Location Address
First Line : 5212 W BROAD ST
Second Line : #201
City : COLUMBUS
State : OH
Zip : 43228-1642
Country : US
Telephone Number : 614-870-8474
Fax Number : 614-870-3348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID A MERINO DDS” Practice Location

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