Individual
JEFFREY A. MECKFESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 H ST, POPLAR, MT 59255-7817
(406) 768-2200
Mailing address
PO BOX 1027, POPLAR, MT 59255-1027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-28426
MT
1223G0001X
General Practice Dentistry
SD1319
NV
Other
Enumeration date
12/04/2006
Last updated
06/24/2024
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