IndividualActive
Adam Merriam, DDS
NPI 1174834048 · Oral and Maxillofacial Surgery (Dentist) · Tucker, GA
Provider details
- NPI number
- 1174834048
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 056657-1 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4280 Lavista Rd Ste C117
Tucker, GA 30084-5315
Phone: (678) 688-4811
Approximate (ZIP-level) locationGet directions
Mailing address
1067 Vista Trl Ne
Atlanta, GA 30324-4615
Registry dates
- Enumerated
- 2010-06-25
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.