Individual
ERNEST THOMAS MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1815 HAYNES ST, CLARKSVILLE, TN 37043-4548
(931) 553-6959
(931) 553-8659
Mailing address
1815 HAYNES ST, CLARKSVILLE, TN 37043-4548
(931) 553-6959
(931) 553-8659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6856
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161031
BCBS PROVIDER
TN
01
—
806412
UNITED CONCORDIA PROVIDER
—
Enumeration date
09/20/2006
Last updated
09/07/2011
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