# MICHAEL MEYER DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104922129
- **Authorized official:** DR. MICHAEL JOHN MEYER DMD (PRESIDENT)
- **Authorized official phone:** (812) 275-7112

## Contact information

- **Practice address:** 1504 DENTAL DR, BEDFORD, IN 47421-3574
- **Practice address phone:** (812) 275-7112
- **Practice address fax:** (812) 275-7244
- **Mailing address:** 1504 DENTAL DR, BEDFORD, IN 47421-3574
- **Mailing address phone:** (812) 275-7112
- **Mailing address fax:** (812) 275-7244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12007013 | IN | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/22/2020
