Provider Demographics
NPI:1356719744
Name:MERCHANT, AMIT (DMD)
Entity type:Individual
Prefix:
First Name:AMIT
Middle Name:
Last Name:MERCHANT
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 1:1015 MIDLAND DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3378
Mailing Address - Country:US
Mailing Address - Phone:404-983-3494
Mailing Address - Fax:
Practice Address - Street 1:360 STONEBROOK PKWY STE 110
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-5356
Practice Address - Country:US
Practice Address - Phone:469-777-8977
Practice Address - Fax:469-777-6993
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice