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TINA S. MERHOFF DDS PA NPI 1649427089


NPI Information

NPI: 1649427089
Provider Name: TINA S. MERHOFF, DDS, PA
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
185 KIMEL PARK DR
SUITE 202
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 659-9500
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TINA S. MERHOFF, DDS, PA is a pediatric dentistry dentist in Winston Salem, NC. 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. TINA S. MERHOFF, DDS, PA NPI is 1649427089. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

185 KIMEL PARK DR
SUITE 202
WINSTON SALEM, NC
ZIP 27103-973
Phone: (336) 659-9500
Fax: (336) 714-1017

The provider's authorized official is Tina Scott Merhoff .
The authorized official title is Owner and has the following contact phone number (336) 659-9500.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 8/27/2008.


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
1122300000XDentist8628NORTH CAROLINANo
21223P0221XDentistPediatric Dentistry7595NORTH CAROLINANo
31223P0221XDentistPediatric Dentistry8552NORTH CAROLINANo
41223P0221XDentistPediatric Dentistry6747NORTH CAROLINAYes

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
189003TMEDICAIDNORTH CAROLINA

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: 4/28/2024

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