Provider Demographics
NPI:1841275468
Name:MEUNIER, CHRISTOPHER JOSEPH (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:MEUNIER
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 1:4827 DAVIS LANT DR
Mailing Address - Street 2:STE.#G
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-8946
Mailing Address - Country:US
Mailing Address - Phone:812-402-7676
Mailing Address - Fax:812-402-7979
Practice Address - Street 1:4827 DAVIS LANT DR
Practice Address - Street 2:STE.#G
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-8946
Practice Address - Country:US
Practice Address - Phone:812-402-7676
Practice Address - Fax:812-402-7979
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010454A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200829180Medicaid
IN200829180Medicaid