Provider Demographics
NPI:1083915425
Name:THOMAS J. MEALS DMD,PLLC
Entity Type:Organization
Organization Name:THOMAS J. MEALS DMD,PLLC
Other - Org Name:MEALS FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MEALS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-263-5053
Mailing Address - Street 1:2007 PROFESSIONAL CT
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-8808
Mailing Address - Country:US
Mailing Address - Phone:304-263-5053
Mailing Address - Fax:304-263-0183
Practice Address - Street 1:2007 PROFESSIONAL CT
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-8808
Practice Address - Country:US
Practice Address - Phone:304-263-5053
Practice Address - Fax:304-263-0183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty