Provider Demographics
NPI:1114110384
Name:MELING, GARY NEAL (DDS)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:NEAL
Last Name:MELING
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 1:182 SOLDIER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-9467
Mailing Address - Country:US
Mailing Address - Phone:307-672-2338
Mailing Address - Fax:
Practice Address - Street 1:182 SOLDIER CREEK RD
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-9467
Practice Address - Country:US
Practice Address - Phone:307-672-2338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY563122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist