Provider Demographics
NPI:1811624596
Name:MESHREKY, EIRINY (DDS)
Entity type:Individual
Prefix:DR
First Name:EIRINY
Middle Name:
Last Name:MESHREKY
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 1:350 S LOWE AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3567
Mailing Address - Country:US
Mailing Address - Phone:931-528-5105
Mailing Address - Fax:
Practice Address - Street 1:350 S LOWE AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-3567
Practice Address - Country:US
Practice Address - Phone:931-528-5105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11978122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN11978OtherTENNESSEE LICENSE NUMBER