Jerry D. Merrell
Oral and Maxillofacial Surgeon
2028 Village Lane #101
Solvang
, California 93463
Jerry D. Merrell
Oral and Maxillofacial Surgeon
2028 Village Lane #101
Solvang
, California 93463
(805) 686-2699
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jerry D. Merrell
- 2028 Village Lane #101
- Solvang, CA
- Zip : 93463
- Fax : (805) 686-2699
- Phone : (805) 688-1155
Second Address
- Jerry D. Merrell
- 2028 Village Lane #101
- Solvang, CA
- Zip : 93463
- Fax : (805) 686-2699
- Phone : (805) 688-1155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 11838 | TX |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 56449 | CA |
National Provider Identifier
| NPI | 1063638393 |
|---|---|
| Provider Name | Jerry D. Merrell |
| First Address | Solvang, CA 93463 |
| Second Address | Solvang, CA 93463 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 22/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 56449 | STATE OF CALIFORNIA (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.