Mericle, Suzanne R.
Mericle, Suzanne R. is an sole proprietor health care provider with primary practice located at 123 Main St , Saint Simons Island GA 31522-1680. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mericle, Suzanne R. can be contacted via phone (912) 638-3559.Contact Information
Primary practice address
123 Main St
Saint Simons Island GA 31522-1680
Phone: (912) 638-3559
Fax: (912) 638-0360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 011052 | Georgia |
Profile Details
| NPI number | 1073671533 |
|---|---|
| LBN Legal business name | Mericle, Suzanne R. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Mar 5th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073671533 | NPPES |
| Georgia | MEDICAID | 000484294A |
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