Provider Demographics
NPI:1720318447
Name:ALAN D. MERTA DDS, PA
Entity Type:Organization
Organization Name:ALAN D. MERTA DDS, PA
Other - Org Name:MERTA FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALAN D. MERTA DDS PA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-621-3333
Mailing Address - Street 1:1601 E ALTON GLOOR BLVD
Mailing Address - Street 2:STE. 108
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3902
Mailing Address - Country:US
Mailing Address - Phone:956-621-3333
Mailing Address - Fax:956-621-3336
Practice Address - Street 1:1601 E ALTON GLOOR BLVD
Practice Address - Street 2:STE. 108
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3902
Practice Address - Country:US
Practice Address - Phone:956-621-3333
Practice Address - Fax:956-621-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty