# MARC J MEADOWS DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodscrest Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114016201
- **Authorized official:** LISA MARIE MEADOWS (BUSINESS MANAGER)
- **Authorized official phone:** (812) 332-0866

## Contact information

- **Practice address:** 515 S WOODSCREST DR, BLOOMINGTON, IN 47401-5524
- **Practice address phone:** (812) 332-0866
- **Mailing address:** 515 S WOODSCREST DR, BLOOMINGTON, IN 47401-5524
- **Mailing address phone:** (812) 332-0866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12010415 | IN | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 07/17/2008