Provider Demographics
NPI:1225177405
Name:DONALD K MEYER DDS PC
Entity Type:Organization
Organization Name:DONALD K MEYER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR DONALD K MEYER DDS PC
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DR OF DENTAL SURGER
Authorized Official - Phone:816-373-0753
Mailing Address - Street 1:4731 SOUTH COCHISE SUITE 204
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055
Mailing Address - Country:US
Mailing Address - Phone:816-373-0753
Mailing Address - Fax:816-373-0792
Practice Address - Street 1:4731 SOUTH COCHISE SUITE 204
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055
Practice Address - Country:US
Practice Address - Phone:816-373-0753
Practice Address - Fax:816-373-0792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
01242014OtherBCBS OF KANSAS CITY MO
MO0009708OtherDELTA DENTAL