Merritt, Kennedy Wood

Merritt, Kennedy Wood is an individual health care provider with primary practice located at 5855 W Utopia Rd Midwestern University Dental Institute, Glendale AZ 85308-5251. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Merritt, Kennedy Wood can be contacted via phone (623) 806-7070.

Contact Information

Primary practice address
5855 W Utopia Rd Midwestern University Dental Institute Glendale AZ 85308-5251
Phone: (623) 806-7070
Fax: (623) 537-6013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD1246 New Mexico
Dental Providers / Dentist 122300000X D009344 Arizona

Profile Details

NPI number 1285687947
LBN Legal business name Merritt, Kennedy Wood
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 9th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285687947 NPPES
New Mexico MEDICAID 00089243

Popular Providers