Provider Demographics
NPI:1932361839
Name:MARGARET A. MERRILL, D.D.S.,P.C.
Entity type:Organization
Organization Name:MARGARET A. MERRILL, D.D.S.,P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-299-7750
Mailing Address - Street 1:7707 E 111TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2557
Mailing Address - Country:US
Mailing Address - Phone:918-299-7750
Mailing Address - Fax:918-296-9717
Practice Address - Street 1:7707 E 111TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2557
Practice Address - Country:US
Practice Address - Phone:918-299-7750
Practice Address - Fax:918-296-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK54921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty