Organization
MEADOWS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE J MEADOWS JR. DMD (MANAGING MEMBER)
(941) 745-1143
Entity
Organization
Contact information
Practice address
9912 SR 64, BRADENTON, FL 34212-5303
(941) 745-1143
Mailing address
9912 SR 64, BRADENTON, FL 34212-5303
(941) 745-1143
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN1634
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN12725
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN15677
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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