Provider Demographics
NPI:1467837641
Name:MEYER, SHAINA (DDS, MA CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:SHAINA
Middle Name:
Last Name:MEYER
Suffix:
Gender:
Credentials:DDS, MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-3510
Mailing Address - Country:US
Mailing Address - Phone:407-891-9000
Mailing Address - Fax:
Practice Address - Street 1:406 S 15TH ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-2285
Practice Address - Country:US
Practice Address - Phone:407-891-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2025-02-24
Deactivation Date:2024-05-17
Deactivation Code:
Reactivation Date:2025-02-20
Provider Licenses
StateLicense IDTaxonomies
OHCOND.2015286-SP235Z00000X
OH30.0271541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist