Provider Demographics
NPI:1538740683
Name:JENNIFER L MEEK DMD PLLC
Entity type:Organization
Organization Name:JENNIFER L MEEK DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/SOLE MEMBER OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MEEK
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-824-5454
Mailing Address - Street 1:118 S MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:DRY RIDGE
Mailing Address - State:KY
Mailing Address - Zip Code:41035
Mailing Address - Country:US
Mailing Address - Phone:859-824-5454
Mailing Address - Fax:859-824-9182
Practice Address - Street 1:118 S MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:DRY RIDGE
Practice Address - State:KY
Practice Address - Zip Code:41035
Practice Address - Country:US
Practice Address - Phone:859-824-5454
Practice Address - Fax:859-824-9182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty