Provider Demographics
NPI:1487847919
Name:MEYERS, JAMIE ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:ANNE
Last Name:MEYERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 ARDEN AVE STE 570
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1143
Mailing Address - Country:US
Mailing Address - Phone:323-496-6440
Mailing Address - Fax:
Practice Address - Street 1:435 ARDEN AVE STE 570
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1143
Practice Address - Country:US
Practice Address - Phone:323-496-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56117122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist