Individual
DR. ROGER A MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1504 HARCREST DR, MIDLAND, MI 48640-4717
(989) 631-6680
Mailing address
1504 HARCREST DR, MIDLAND, MI 48640-4717
(989) 631-6680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009365
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124000804
—
MI
Enumeration date
09/05/2006
Last updated
07/08/2007
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