Marc J Meadows DDS PC

General Practice Dentistry · Bloomington, IN

Organization Active NPI

NPI number 1114016201

Practice location

515 S Woodscrest Dr
Bloomington, IN 47401-5524
Phone
(812) 332-0866

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NPI record

NPI
1114016201
Entity type
Organization (Type 2)
Enumeration date
October 12, 2006
Last updated
July 17, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12010415 IN

Authorized official

Name
Lisa Marie Meadows
Title
Business Manager
Phone
(812) 332-0866

Other names

  • Woodscrest Dental

About Marc J Meadows DDS PC

Marc J Meadows DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 515 S Woodscrest Dr, Bloomington, IN 47401-5524. The NPI number 1114016201 was assigned on October 12, 2006 and the record was last updated on July 17, 2008.

Marc J Meadows DDS PC lists a license in the registry: #12010415 (IN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Lisa Marie Meadows, Business Manager.

Frequently asked questions

What is the NPI number of Marc J Meadows DDS PC?

The NPI number is 1114016201.

What is the phone number of Marc J Meadows DDS PC?

The phone number listed for the practice location is (812) 332-0866.

Where is Marc J Meadows DDS PC located?

515 S Woodscrest Dr, Bloomington, IN 47401-5524.

What is the taxonomy code for Marc J Meadows DDS PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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