Merriman, Toby O
Merriman, Toby O is an individual health care provider with primary practice located at 1550 E Heritage Park St Ste 150, Meridian ID 83646-5886. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Merriman, Toby O can be contacted via phone (208) 288-2719.Contact Information
Primary practice address
1550 E Heritage Park St Ste 150
Meridian ID 83646-5886
Phone: (208) 288-2719
Fax: (208) 288-2579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D3592 | Idaho |
| Dental Providers / Pediatric Dentistry | 1223P0221X | D-3592-PD | Idaho |
Profile Details
| NPI number | 1407801939 |
|---|---|
| LBN Legal business name | Merriman, Toby O |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jun 5th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407801939 | NPPES |
| Idaho | Other | D-3592-PD | STATE DENTAL LICENSE |
| Idaho | MEDICAID | 806274800 | STATE DENTAL LICENSE |
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