Provider Demographics
NPI:1891937991
Name:MESHENBERG, ERIC LAWRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LAWRENCE
Last Name:MESHENBERG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 BROADVIEW ROAD
Mailing Address - Street 2:ERIC L. MESHENBERG DDS
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1617
Mailing Address - Country:US
Mailing Address - Phone:216-749-1707
Mailing Address - Fax:216-749-1807
Practice Address - Street 1:5311 BROADVIEW ROAD
Practice Address - Street 2:ERIC L. MESHENBERG DDS
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1617
Practice Address - Country:US
Practice Address - Phone:216-749-1707
Practice Address - Fax:216-749-1807
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16945122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist