Marc J Meadows DDS PC
Dentist, General Practice in Bloomington, IN. Organization (NPI-2).
NPI number1114016201
StatusActive
Last updated in NPPESJul 17, 2008
Details
- NPI
- 1114016201
- Entity type
- Organization (NPI-2)
- Legal business name
- Marc J Meadows DDS PC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jul 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 12010415 | IN | Yes |
Other names
- Woodscrest Dental (Doing Business As)
Practice location
515 S Woodscrest DrBloomington, IN 47401-5524
Phone 812-332-0866
Mailing address
515 S Woodscrest DrBloomington, IN 47401-5524
Phone 812-332-0866
Authorized official
Lisa Marie Meadows
Business Manager
8123320866
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