Provider Demographics
NPI:1154499770
Name:CHRIS R MEI DDS AND ASSOCIATES PC
Entity Type:Organization
Organization Name:CHRIS R MEI DDS AND ASSOCIATES PC
Other - Org Name:WEST VILLAGE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:MEI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-563-4466
Mailing Address - Street 1:460 WOODCREST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2115
Mailing Address - Country:US
Mailing Address - Phone:313-274-1695
Mailing Address - Fax:
Practice Address - Street 1:22615 MICHIGAN AVE
Practice Address - Street 2:WEST VILLAGE DENTAL CARE
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2115
Practice Address - Country:US
Practice Address - Phone:313-563-4466
Practice Address - Fax:313-563-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010137881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty