Provider Demographics
NPI:1023126653
Name:MEFFORD, ANDREW DOUGLAS (DMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DOUGLAS
Last Name:MEFFORD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 APPLING RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-5082
Mailing Address - Country:US
Mailing Address - Phone:901-388-9110
Mailing Address - Fax:901-384-7662
Practice Address - Street 1:5780 AIRLINE RD
Practice Address - Street 2:SUITE101
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-4264
Practice Address - Country:US
Practice Address - Phone:901-867-5657
Practice Address - Fax:901-867-5202
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8358122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist