Provider Demographics
NPI:1962647537
Name:ANA MEIGS, D.D.S.
Entity Type:Organization
Organization Name:ANA MEIGS, D.D.S.
Other - Org Name:MEIGS FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEIGS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-656-9713
Mailing Address - Street 1:1040 TIERRA DEL REY STE 209
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7865
Mailing Address - Country:US
Mailing Address - Phone:619-656-9713
Mailing Address - Fax:619-656-9789
Practice Address - Street 1:1040 TIERRA DEL REY STE 209
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7865
Practice Address - Country:US
Practice Address - Phone:619-656-9713
Practice Address - Fax:619-656-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46739305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization