Provider Demographics
NPI:1316431950
Name:WEST MEADE
Entity type:Organization
Organization Name:WEST MEADE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIGUR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-400-0018
Mailing Address - Street 1:6606 CHARLOTTE PIKE STE 102
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4256
Mailing Address - Country:US
Mailing Address - Phone:615-864-8941
Mailing Address - Fax:615-864-8946
Practice Address - Street 1:6084 14TH ST W STE B-5
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-4104
Practice Address - Country:US
Practice Address - Phone:941-727-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty