Provider Demographics
NPI:1407940232
Name:RICHARD MEYER DDS PC
Entity Type:Organization
Organization Name:RICHARD MEYER DDS PC
Other - Org Name:MEYER ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT RICHARD MEYER DDS PC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-343-1500
Mailing Address - Street 1:2620 JACKSON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702
Mailing Address - Country:US
Mailing Address - Phone:605-343-1500
Mailing Address - Fax:605-343-0196
Practice Address - Street 1:2620 JACKSON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702
Practice Address - Country:US
Practice Address - Phone:605-343-1500
Practice Address - Fax:605-343-0196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty