Provider Demographics
NPI:1497952261
Name:MEYER, MARIA DOROTHY (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DOROTHY
Last Name:MEYER
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 1:8316 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-9311
Mailing Address - Country:US
Mailing Address - Phone:701-751-1604
Mailing Address - Fax:
Practice Address - Street 1:669 12TH ST W
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-3554
Practice Address - Country:US
Practice Address - Phone:701-483-4746
Practice Address - Fax:701-483-2273
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2009122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist