Individual
DR. MICHELLE LYNN MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1465 BURTON ST, SUITE A, SHERIDAN, WY 82801-2745
(307) 674-9713
(307) 673-1973
Mailing address
1465 BURTON ST, SUITE A, SHERIDAN, WY 82801-2745
(307) 674-9713
(307) 673-1973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1043
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043
STATE LICENSE NUMBER
WY
01
—
83-0329217
TAX IDENTIFICATION NUMBER
WY
Enumeration date
05/10/2007
Last updated
03/10/2021
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