Provider Demographics
NPI:1225608482
Name:ARREOLA, MEGAN JILL (RDH)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:JILL
Last Name:ARREOLA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:JILL
Other - Last Name:STRATIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH
Mailing Address - Street 1:6762 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-9822
Mailing Address - Country:US
Mailing Address - Phone:616-828-2001
Mailing Address - Fax:
Practice Address - Street 1:33533 W 12 MILE RD STE 150
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-5600
Practice Address - Country:US
Practice Address - Phone:888-883-8441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2902017265124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist