Individual
JAMES DAN MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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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