Provider Demographics
NPI:1093035818
Name:STENVALL, MEGHAN MELISSA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:MELISSA
Last Name:STENVALL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 PINEVILLE MATTHEWS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-6159
Mailing Address - Country:US
Mailing Address - Phone:704-542-6533
Mailing Address - Fax:704-540-1849
Practice Address - Street 1:7251 PINEVILLE MATTHEWS RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-6159
Practice Address - Country:US
Practice Address - Phone:704-542-6533
Practice Address - Fax:704-540-1849
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC108661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice