Provider Demographics
NPI:1366408338
Name:MERHOFF, TINA SCOTT (DDS)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:SCOTT
Last Name:MERHOFF
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:410 SPYGLASS HILL PL
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-9494
Mailing Address - Country:US
Mailing Address - Phone:704-636-9187
Mailing Address - Fax:704-636-9184
Practice Address - Street 1:185 KIMEL PARK DR
Practice Address - Street 2:SUITE 202
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6973
Practice Address - Country:US
Practice Address - Phone:336-659-9500
Practice Address - Fax:336-714-1017
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC67471223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU67256Medicare UPIN