Provider Demographics
NPI:1568831212
Name:J. MERRELL, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:J. MERRELL, D.D.S., P.L.L.C.
Other - Org Name:CANDLER FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-665-7000
Mailing Address - Street 1:1215 SMOKY PARK HWY
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9248
Mailing Address - Country:US
Mailing Address - Phone:828-665-7000
Mailing Address - Fax:828-665-3888
Practice Address - Street 1:1215 SMOKY PARK HWY
Practice Address - Street 2:
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-9248
Practice Address - Country:US
Practice Address - Phone:828-665-7000
Practice Address - Fax:828-665-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7464261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental