Provider Demographics
NPI:1508390345
Name:DR. DONALD J. MEYER D.D.S
Entity Type:Organization
Organization Name:DR. DONALD J. MEYER D.D.S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:S
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-454-2303
Mailing Address - Street 1:3301 NEW MEXICO AVE NW STE 332
Mailing Address - Street 2:WASHINGTON, D.C N.W 20016
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3623
Mailing Address - Country:US
Mailing Address - Phone:202-686-5222
Mailing Address - Fax:
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 332
Practice Address - Street 2:WASHINGTON, D.C N.W 20016
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3623
Practice Address - Country:US
Practice Address - Phone:202-686-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC098332700Medicaid