Provider Demographics
NPI:1417153388
Name:MEI, CHRIS RAYMOND
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:RAYMOND
Last Name:MEI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1141
Mailing Address - Country:US
Mailing Address - Phone:313-274-1695
Mailing Address - Fax:
Practice Address - Street 1:22615 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2115
Practice Address - Country:US
Practice Address - Phone:313-563-4466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0137881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice