Provider Demographics
NPI:1578648481
Name:MEYER, ELIZABETH CLAIRE (RDH)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CLAIRE
Last Name:MEYER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 PORTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-8249
Mailing Address - Country:US
Mailing Address - Phone:615-415-1845
Mailing Address - Fax:
Practice Address - Street 1:4085 MALLORY LANE
Practice Address - Street 2:SUITE 200
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-771-1111
Practice Address - Fax:615-771-5113
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDH0000005918124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist