Provider Demographics
NPI:1467799775
Name:MERLINO, ANNETTE E (DMD)
Entity type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:E
Last Name:MERLINO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:DELMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15626-1454
Mailing Address - Country:US
Mailing Address - Phone:724-468-8502
Mailing Address - Fax:724-468-6161
Practice Address - Street 1:2370 ROUTE 66
Practice Address - Street 2:
Practice Address - City:DELMONT
Practice Address - State:PA
Practice Address - Zip Code:15626-1454
Practice Address - Country:US
Practice Address - Phone:724-468-8502
Practice Address - Fax:724-468-6161
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0263890122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist