Provider Demographics
NPI:1639537277
Name:STALNAKER, MEREDITH ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ANN
Last Name:STALNAKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MEREDITH
Other - Middle Name:ANN
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:13605 REESE BLVD W
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6250
Mailing Address - Country:US
Mailing Address - Phone:704-948-1111
Mailing Address - Fax:704-274-9666
Practice Address - Street 1:875 UNION AVE
Practice Address - Street 2:MEMPHIS
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3513
Practice Address - Country:US
Practice Address - Phone:901-448-2242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC112651223G0001X
TNDS0000010103122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist