Provider Demographics
NPI:1003913658
Name:JAMES M. MEEKS, DDS., MS., INC.
Entity type:Organization
Organization Name:JAMES M. MEEKS, DDS., MS., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-347-2525
Mailing Address - Street 1:800 CORPORATE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1154
Mailing Address - Country:US
Mailing Address - Phone:949-347-2525
Mailing Address - Fax:949-347-2552
Practice Address - Street 1:800 CORPORATE DR
Practice Address - Street 2:SUITE 220
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-1152
Practice Address - Country:US
Practice Address - Phone:949-347-2525
Practice Address - Fax:949-347-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA333401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33340OtherSTATE LICENSE NUMBER