Provider Demographics
NPI:1902034291
Name:MEAGHAN A. NEUBERGER
Entity Type:Organization
Organization Name:MEAGHAN A. NEUBERGER
Other - Org Name:HAHN DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEUBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:605-339-4050
Mailing Address - Street 1:3610 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6142
Mailing Address - Country:US
Mailing Address - Phone:605-339-4050
Mailing Address - Fax:605-339-4240
Practice Address - Street 1:3610 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6142
Practice Address - Country:US
Practice Address - Phone:605-339-4050
Practice Address - Fax:605-339-4240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty