Provider Demographics
NPI:1699332957
Name:INCLAN, MEAGAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:
Last Name:INCLAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ALLIED DR BLDG 5
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-2013
Mailing Address - Country:US
Mailing Address - Phone:704-616-9921
Mailing Address - Fax:
Practice Address - Street 1:5 ALLIED DR BLDG 5
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-2013
Practice Address - Country:US
Practice Address - Phone:870-307-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019016637122300000X
AR1311223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist