Provider Demographics
NPI:1235969346
Name:MEGGISON DDS LLC
Entity type:Organization
Organization Name:MEGGISON DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TEMISAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEGGISON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:857-247-7684
Mailing Address - Street 1:3460 14TH ST NW APT 420
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-4409
Mailing Address - Country:US
Mailing Address - Phone:857-247-7684
Mailing Address - Fax:
Practice Address - Street 1:7201 WISCONSIN AVE STE 310
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4846
Practice Address - Country:US
Practice Address - Phone:301-564-4991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental