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Contact Information

CHARLES M MERRILL, DMD
2424 DANVILLE ROAD SUITE O
DECATUR, AL35603
 Phone: 256-351-7707
 Fax: 256-351-7729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHARLES M MERRILL · (Male)

NPI Number 1013098235
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/17/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 2573
  • AL Other 94685 BLUE CROSS & BLUE SHIELD
  • AL Other 836007 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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