Provider Demographics
NPI:1790705291
Name:MENG, LIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:MENG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VREELAND DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2620
Mailing Address - Country:US
Mailing Address - Phone:609-252-0994
Mailing Address - Fax:609-252-0993
Practice Address - Street 1:10 VREELAND DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2620
Practice Address - Country:US
Practice Address - Phone:609-252-0994
Practice Address - Fax:609-252-0993
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI200161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice