Provider Demographics
NPI:1114142841
Name:MERCHANT, NADEEM (DMD)
Entity Type:Individual
Prefix:
First Name:NADEEM
Middle Name:
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 ISLAND CREST WAY
Mailing Address - Street 2:SUITE #2
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-2998
Mailing Address - Country:US
Mailing Address - Phone:206-232-6200
Mailing Address - Fax:
Practice Address - Street 1:3003 ISLAND CREST WAY
Practice Address - Street 2:SUITE #2
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2998
Practice Address - Country:US
Practice Address - Phone:206-232-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE9766122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist