Provider Demographics
NPI:1861573339
Name:MEIGS, ANA M (DDS)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:MEIGS
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 1:1157 CORRALES LN
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7956
Mailing Address - Country:US
Mailing Address - Phone:619-316-6737
Mailing Address - Fax:
Practice Address - Street 1:1040 TIERRA DEL REY
Practice Address - Street 2:SUITE 209
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7865
Practice Address - Country:US
Practice Address - Phone:619-656-9713
Practice Address - Fax:619-656-9789
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA467391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice