Provider Demographics
NPI:1598715724
Name:MERLO, BARBARA J (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:J
Last Name:MERLO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:9301 CALUMET AVE
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2809
Mailing Address - Country:US
Mailing Address - Phone:219-836-9779
Mailing Address - Fax:219-836-0311
Practice Address - Street 1:9301 CALUMET AVE
Practice Address - Street 2:SUITE 1-A
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2809
Practice Address - Country:US
Practice Address - Phone:219-836-9779
Practice Address - Fax:219-836-0311
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN120085961223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry