Provider Demographics
NPI:1013046770
Name:MEADOWS, DAVID LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEE
Last Name:MEADOWS
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 1:3500 RINGGOLD RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37412-1271
Mailing Address - Country:US
Mailing Address - Phone:423-698-7951
Mailing Address - Fax:423-698-4692
Practice Address - Street 1:3500 RINGGOLD RD
Practice Address - Street 2:SUITE 2
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37412-1271
Practice Address - Country:US
Practice Address - Phone:423-698-7951
Practice Address - Fax:423-698-4692
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000014981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice