Provider Demographics
NPI:1336454651
Name:CLAUSSEN, MEGHANN FAAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGHANN
Middle Name:FAAS
Last Name:CLAUSSEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MEGHANN
Other - Middle Name:MARIE
Other - Last Name:FAAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:403 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-3409
Mailing Address - Country:US
Mailing Address - Phone:574-551-6031
Mailing Address - Fax:
Practice Address - Street 1:403 E 11TH ST
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3409
Practice Address - Country:US
Practice Address - Phone:850-767-3350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 191281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice