Provider Demographics
NPI:1285946517
Name:MEISTER, JOHN DAVID (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:MEISTER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 OLD HICKORY BLVD.
Mailing Address - Street 2:STE. 101
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4242
Mailing Address - Country:US
Mailing Address - Phone:615-988-2603
Mailing Address - Fax:615-988-2661
Practice Address - Street 1:1177 OLD HICKORY BLVD.
Practice Address - Street 2:STE. 101
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4242
Practice Address - Country:US
Practice Address - Phone:615-988-2603
Practice Address - Fax:615-988-2661
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN96701223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics