Provider Demographics
NPI:1902818941
Name:LAMAR MEADOWS, JR., DDS, INC.
Entity Type:Organization
Organization Name:LAMAR MEADOWS, JR., DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERCE
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-342-5020
Mailing Address - Street 1:1111 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-3401
Mailing Address - Country:US
Mailing Address - Phone:281-342-5020
Mailing Address - Fax:281-239-0291
Practice Address - Street 1:1111 2ND ST
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-3401
Practice Address - Country:US
Practice Address - Phone:281-342-5020
Practice Address - Fax:281-239-0291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty