Provider Demographics
NPI:1871756460
Name:MESCHKE, JOHN D (DDS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:MESCHKE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 COMPOUND DR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-4300
Mailing Address - Country:US
Mailing Address - Phone:620-662-6667
Mailing Address - Fax:620-662-5303
Practice Address - Street 1:2 COMPOUND DR
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-4300
Practice Address - Country:US
Practice Address - Phone:620-662-6667
Practice Address - Fax:620-662-5303
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0051391223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics