Provider Demographics
NPI:1790815223
Name:MEIER, RONALD (DDS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:MEIER
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 1:6575 COUNTY ROAD I
Mailing Address - Street 2:
Mailing Address - City:LENA
Mailing Address - State:WI
Mailing Address - Zip Code:54139-9187
Mailing Address - Country:US
Mailing Address - Phone:920-846-2288
Mailing Address - Fax:
Practice Address - Street 1:1210 PECOR ST
Practice Address - Street 2:
Practice Address - City:OCONTO
Practice Address - State:WI
Practice Address - Zip Code:54153-1768
Practice Address - Country:US
Practice Address - Phone:920-834-5737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5001380-015122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist