Provider Demographics
NPI:1316006752
Name:MERRILL ORTHODONTICS LLP
Entity Type:Organization
Organization Name:MERRILL ORTHODONTICS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:MERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:509-886-4746
Mailing Address - Street 1:801 EASTMONT AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802
Mailing Address - Country:US
Mailing Address - Phone:509-886-4746
Mailing Address - Fax:509-886-4329
Practice Address - Street 1:801 EASTMONT AVE
Practice Address - Street 2:SUITE B
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802
Practice Address - Country:US
Practice Address - Phone:509-886-4746
Practice Address - Fax:509-886-4329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA62961223X0400X
WA90251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty