Michael Robert Merrell, DDS

NPI #1972516607 in Rexburg, Idaho

Provider Information

NPI Number: 1972516607
Entity Type: Individual
Name: Michael Robert Merrell, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 14, 2006
Last Updated: Jan 10, 2024

Practice Location

Address: 1183 SUMMERS DR
City: Rexburg
State: Idaho
ZIP Code: 83440-5224
Phone: (208) 356-9097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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