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DR. TOBY O MERRIMAN DMD NPI 1407801939


NPI Information

NPI: 1407801939
Provider Name: DR. TOBY O MERRIMAN, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1550 E HERITAGE PARK ST
STE 150
MERIDIAN, ID
ZIP 83646
Phone: (208) 288-2719
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DR. Toby O Merriman, DMD is a pediatric dentistry dentist in Meridian, ID. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Toby O Merriman, DMD NPI is 1407801939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1550 E HERITAGE PARK ST
STE 150
MERIDIAN, ID
ZIP 83646-886
Phone: (208) 288-2719
Fax: (208) 288-2579

The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryD3592IDAHONo
21223P0221XDentistPediatric DentistryD-3592-PDIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D-3592-PDOTHERIDAHOSTATE DENTAL LICENSE
2806274800MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.