Provider Demographics
NPI:1174672018
Name:MERKLER, ELIZABETH MARY (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARY
Last Name:MERKLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 HIGHWAY 70
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-2609
Mailing Address - Country:US
Mailing Address - Phone:732-223-2919
Mailing Address - Fax:732-292-0423
Practice Address - Street 1:2640 HIGHWAY 70
Practice Address - Street 2:SUITE 2C
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2609
Practice Address - Country:US
Practice Address - Phone:732-223-2919
Practice Address - Fax:732-292-0423
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ177841223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry