Provider Demographics
NPI:1760787394
Name:WEHMEYER, MEGGAN MARTIN HOVICK (DDS, MS, IBCLC)
Entity Type:Individual
Prefix:DR
First Name:MEGGAN
Middle Name:MARTIN HOVICK
Last Name:WEHMEYER
Suffix:
Gender:F
Credentials:DDS, MS, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-2654
Mailing Address - Country:US
Mailing Address - Phone:032-871-3006
Mailing Address - Fax:
Practice Address - Street 1:1 TREMONT ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743
Practice Address - Country:US
Practice Address - Phone:032-871-3006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2018-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH041801223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics