Provider Demographics
NPI:1194443069
Name:PAUL A MEYERING, DDS, PLC
Entity type:Organization
Organization Name:PAUL A MEYERING, DDS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:MEYERING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-773-1180
Mailing Address - Street 1:27225 LITTLE MACK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1852
Mailing Address - Country:US
Mailing Address - Phone:586-773-1180
Mailing Address - Fax:
Practice Address - Street 1:27225 LITTLE MACK AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1852
Practice Address - Country:US
Practice Address - Phone:586-773-1180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental