Alley, Merrill Lucas

Alley, Merrill Lucas is an individual health care provider with primary practice located at 4102 Pinion Dr , Usaf Academy CO 80840-2502. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Alley, Merrill Lucas can be contacted via phone (719) 333-5457.

Contact Information

Primary practice address
4102 Pinion Dr Usaf Academy CO 80840-2502
Phone: (719) 333-5457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS036820 Pennsylvania
Dental Providers / General Practice 1223G0001X DS036820 Pennsylvania

Profile Details

NPI number 1558396846
LBN Legal business name Alley, Merrill Lucas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Oct 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558396846 NPPES
Pennsylvania Other DS036820 DENTAL LICENSE NUMBER

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