Provider Demographics
NPI:1265861876
Name:MERRIMAN, DENNIS (OPA-C)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:MERRIMAN
Suffix:
Gender:M
Credentials:OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8622 TERVADA DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-2476
Mailing Address - Country:US
Mailing Address - Phone:865-661-9373
Mailing Address - Fax:
Practice Address - Street 1:8622 TERVADA DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-2476
Practice Address - Country:US
Practice Address - Phone:865-661-9373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOPA0000000647246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant