Provider Demographics
NPI:1386806297
Name:MEIER, CAROLYN WEMBER (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:WEMBER
Last Name:MEIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2343 E MASON ST
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54302-3764
Mailing Address - Country:US
Mailing Address - Phone:920-468-8144
Mailing Address - Fax:
Practice Address - Street 1:2343 E MASON ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54302-3764
Practice Address - Country:US
Practice Address - Phone:920-468-8144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5229-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice