Provider Demographics
NPI:1386121705
Name:MEILINGER, TALENA ALLISON (DDS)
Entity type:Individual
Prefix:DR
First Name:TALENA
Middle Name:ALLISON
Last Name:MEILINGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:TALENA
Other - Middle Name:ALLISON
Other - Last Name:LORREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21110 LAS LOMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2941
Mailing Address - Country:US
Mailing Address - Phone:903-571-9083
Mailing Address - Fax:
Practice Address - Street 1:21110 LAS LOMAS BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-2941
Practice Address - Country:US
Practice Address - Phone:903-571-9083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice