Provider Demographics
NPI:1013537869
Name:MECKEL, ERIK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:
Last Name:MECKEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 GENARD ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-1909
Mailing Address - Country:US
Mailing Address - Phone:214-966-2265
Mailing Address - Fax:
Practice Address - Street 1:2700 W ANDERSON LN STE 418
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1304
Practice Address - Country:US
Practice Address - Phone:214-966-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
126800000X
TX38659122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No126800000XDental ProvidersDental Assistant