Provider Demographics
NPI:1083648034
Name:MEISER, EDWARD TAYLOR JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:TAYLOR
Last Name:MEISER
Suffix:JR
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 1:37 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3820
Mailing Address - Country:US
Mailing Address - Phone:410-224-4411
Mailing Address - Fax:410-224-1314
Practice Address - Street 1:37 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3820
Practice Address - Country:US
Practice Address - Phone:410-224-4411
Practice Address - Fax:410-224-1314
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD64261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52-2266692OtherTAX ID