Provider Demographics
NPI:1093805574
Name:MERLYN L. CARVER, D.D.S., INC.
Entity Type:Organization
Organization Name:MERLYN L. CARVER, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MERLYN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-671-1810
Mailing Address - Street 1:1408 LIVE OAK BLVD.
Mailing Address - Street 2:SUITE F
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991
Mailing Address - Country:US
Mailing Address - Phone:530-671-1810
Mailing Address - Fax:
Practice Address - Street 1:1408 LIVE OAK BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-2970
Practice Address - Country:US
Practice Address - Phone:530-671-1810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35851261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental