Provider Demographics
NPI:1538364476
Name:WILLIAM H. MERLO, D.D.S. AND ASSOCIATES
Entity type:Organization
Organization Name:WILLIAM H. MERLO, D.D.S. AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:MERLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-372-5411
Mailing Address - Street 1:1927 BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1821
Mailing Address - Country:US
Mailing Address - Phone:704-372-5411
Mailing Address - Fax:704-372-5414
Practice Address - Street 1:1927 BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1821
Practice Address - Country:US
Practice Address - Phone:704-372-5411
Practice Address - Fax:704-372-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty