Provider Demographics
NPI:1386729275
Name:MEULENER, CARLOS E (DMD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:MEULENER
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 1:4 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1535
Mailing Address - Country:US
Mailing Address - Phone:732-842-7555
Mailing Address - Fax:732-219-5409
Practice Address - Street 1:4 PARKER AVE
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1535
Practice Address - Country:US
Practice Address - Phone:732-842-7555
Practice Address - Fax:732-219-5409
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12135122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist