Provider Demographics
NPI:1407473382
Name:MEADOWS, SLOAN ANDREW (DDS)
Entity Type:Individual
Prefix:
First Name:SLOAN
Middle Name:ANDREW
Last Name:MEADOWS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 N CALDWELL ST APT 1227
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-3584
Mailing Address - Country:US
Mailing Address - Phone:703-615-3111
Mailing Address - Fax:
Practice Address - Street 1:816 1ST AVE S
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-2712
Practice Address - Country:US
Practice Address - Phone:828-348-6430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC119151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice