Individual
JAMES DAN MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10000 COORS BYP NW STE G218, ALBUQUERQUE, NM 87114-4084
(505) 242-4867
(505) 242-4867
Mailing address
10000 COORS BYP NW STE G218, ALBUQUERQUE, NM 87114-4084
(505) 242-4867
(505) 242-4867
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD1096
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD1096
DENTAL STATE LIC.
NM
Enumeration date
12/29/2005
Last updated
07/12/2013
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