Provider Demographics
NPI:1174665665
Name:DRS. MESH, P.C.
Entity Type:Organization
Organization Name:DRS. MESH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RUSHLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-750-1000
Mailing Address - Street 1:15555 SILVER PKWY
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3445
Mailing Address - Country:US
Mailing Address - Phone:810-750-1000
Mailing Address - Fax:810-750-1022
Practice Address - Street 1:15555 SILVER PKWY
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3445
Practice Address - Country:US
Practice Address - Phone:810-750-1000
Practice Address - Fax:810-750-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0133631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty