# JEFFREY T. MEISTER, DDS, LLC

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

## Provider details

- **NPI number:** 1821207853
- **Authorized official:** DR. JEFFREY T. MEISTER D.D.S. (DENTIST)
- **Authorized official phone:** (219) 924-8766

## Contact information

- **Practice address:** 1630 45TH AVE, SUITE 104, MUNSTER, IN 46321-3959
- **Practice address phone:** (219) 924-8766
- **Practice address fax:** (219) 924-8762
- **Mailing address:** 1630 45TH AVE, SUITE 104, MUNSTER, IN 46321-3963
- **Mailing address phone:** (219) 924-8766
- **Mailing address fax:** (219) 924-8762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009034A | IN | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 04/29/2013