Provider Demographics
NPI:1447405550
Name:MEEKER AND ASSOCIATES, DDS, PA
Entity Type:Organization
Organization Name:MEEKER AND ASSOCIATES, DDS, PA
Other - Org Name:KINSTON DENTAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ARIC
Authorized Official - Last Name:MEEKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-527-1111
Mailing Address - Street 1:512 PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-1615
Mailing Address - Country:US
Mailing Address - Phone:252-527-1111
Mailing Address - Fax:252-364-4975
Practice Address - Street 1:512 PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1615
Practice Address - Country:US
Practice Address - Phone:252-527-1111
Practice Address - Fax:252-364-4975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC77881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902988Medicaid