Provider Demographics
NPI:1811022387
Name:MEYER, DENISE D (DDS)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:D
Last Name:MEYER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:D
Other - Last Name:CLARIDGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:5611 NW 1ST ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4466
Mailing Address - Country:US
Mailing Address - Phone:402-438-5588
Mailing Address - Fax:402-438-5715
Practice Address - Street 1:5611 NW 1ST ST
Practice Address - Street 2:SUITE 108
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4466
Practice Address - Country:US
Practice Address - Phone:402-438-5588
Practice Address - Fax:402-438-5715
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE63291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice