Provider Demographics
NPI:1386842722
Name:NADEEM MERCHANT DMD, PS
Entity Type:Organization
Organization Name:NADEEM MERCHANT DMD, PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:206-232-6200
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:206-232-6428
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:206-232-6428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty