Provider Demographics
NPI:1972882371
Name:MERTZ, HAROLD R (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:R
Last Name:MERTZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 ROUTE 37 W
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8054
Mailing Address - Country:US
Mailing Address - Phone:732-270-5566
Mailing Address - Fax:732-270-2781
Practice Address - Street 1:150 ROUTE 37 W
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8054
Practice Address - Country:US
Practice Address - Phone:732-270-5566
Practice Address - Fax:732-270-2781
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI015173001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice