Provider Demographics
NPI:1285759571
Name:MEIER, SCOTT FREDRICK (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:FREDRICK
Last Name:MEIER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:561-799-4848
Mailing Address - Fax:561-799-4844
Practice Address - Street 1:500 UNIVERSITY BLVD STE 112
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2774
Practice Address - Country:US
Practice Address - Phone:561-799-4848
Practice Address - Fax:561-799-4844
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN141431223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650-85-4084OtherTAX ID