Provider Demographics
NPI:1821037649
Name:HALEM, MERRITT DEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MERRITT
Middle Name:DEAN
Last Name:HALEM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 IVES DAIRY RD
Mailing Address - Street 2:SUITE #135
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2538
Mailing Address - Country:US
Mailing Address - Phone:305-652-7702
Mailing Address - Fax:305-653-1317
Practice Address - Street 1:1031 IVES DAIRY RD
Practice Address - Street 2:SUITE #135
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2538
Practice Address - Country:US
Practice Address - Phone:305-652-7702
Practice Address - Fax:305-653-1317
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN4753122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist