Provider Demographics
NPI:1063849289
Name:MEYROWITZ, SAMUEL BRIAN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:BRIAN
Last Name:MEYROWITZ
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 N EASTON RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-3808
Mailing Address - Country:US
Mailing Address - Phone:215-885-6020
Mailing Address - Fax:
Practice Address - Street 1:818 N EASTON RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-3808
Practice Address - Country:US
Practice Address - Phone:215-885-6020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0372731223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics