Provider Demographics
NPI:1528231172
Name:RICHARD D. MEEKINS DDS,PC
Entity Type:Organization
Organization Name:RICHARD D. MEEKINS DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-743-0704
Mailing Address - Street 1:2390 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-3711
Mailing Address - Country:US
Mailing Address - Phone:901-743-0704
Mailing Address - Fax:901-743-0738
Practice Address - Street 1:2390 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114-3711
Practice Address - Country:US
Practice Address - Phone:901-743-0704
Practice Address - Fax:901-743-0738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS2527122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty