Provider Demographics
NPI:1225173701
Name:MEINHOLD, TERRI SMITH
Entity Type:Individual
Prefix:MISS
First Name:TERRI
Middle Name:SMITH
Last Name:MEINHOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-3149
Mailing Address - Country:US
Mailing Address - Phone:828-684-7063
Mailing Address - Fax:828-684-2485
Practice Address - Street 1:2363 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-3149
Practice Address - Country:US
Practice Address - Phone:828-684-7063
Practice Address - Fax:828-684-2485
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5749122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist