Provider Demographics
NPI:1750519609
Name:MEYER, COURTNEY SARRETT (DDS)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:SARRETT
Last Name:MEYER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ESTHERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51334-1534
Mailing Address - Country:US
Mailing Address - Phone:712-363-5454
Mailing Address - Fax:712-362-4737
Practice Address - Street 1:808 N 9TH ST
Practice Address - Street 2:
Practice Address - City:ESTHERVILLE
Practice Address - State:IA
Practice Address - Zip Code:51334-1534
Practice Address - Country:US
Practice Address - Phone:712-363-5454
Practice Address - Fax:712-362-4737
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA086551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice