Provider Demographics
NPI:1457421562
Name:MERKEL, ROBERT C (DDS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:MERKEL
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 1:5239 MORNING SUN RD
Mailing Address - Street 2:P. O. BOX 366
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-8928
Mailing Address - Country:US
Mailing Address - Phone:513-523-4018
Mailing Address - Fax:513-523-3548
Practice Address - Street 1:5239 MORNING SUN RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-8928
Practice Address - Country:US
Practice Address - Phone:513-523-4018
Practice Address - Fax:513-523-3548
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH156931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice