Provider Demographics
NPI:1568643716
Name:MERMET, ROBERT A
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:MERMET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 TITUS MILL RD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-4307
Mailing Address - Country:US
Mailing Address - Phone:609-737-6767
Mailing Address - Fax:609-737-2302
Practice Address - Street 1:114 TITUS MILL RD
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-4307
Practice Address - Country:US
Practice Address - Phone:609-737-6767
Practice Address - Fax:609-737-2302
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ113211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice