Provider Demographics
NPI:1326065004
Name:DAYTON, MERRIL TAYLOR (MD)
Entity Type:Individual
Prefix:DR
First Name:MERRIL
Middle Name:TAYLOR
Last Name:DAYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9684 COBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1581
Mailing Address - Country:US
Mailing Address - Phone:716-759-1131
Mailing Address - Fax:
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:D352
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-1339
Practice Address - Fax:716-859-7349
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228611-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02396927Medicaid
NYA46447Medicare UPIN
NY02396927Medicaid