IndividualActive
Bruce Merriam, DDS
NPI 1619150802 · Endodontics · East Patchogue, NY
Provider details
- NPI number
- 1619150802
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 028780-1 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 Patchogue Yaphank Rd
Suite 9
East Patchogue, NY 11772-4800
Phone: (631) 475-3400
Fax: (631) 475-3465
Street-level locationGet directions
Mailing address
250 Patchogue Yaphank Rd
East Patchogue, NY 11772-4800
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2007-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.