Provider Demographics
NPI:1558445684
Name:MEER, MICHAEL Z (DDS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:Z
Last Name:MEER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 SUGAR LOAF LN
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1976
Mailing Address - Country:US
Mailing Address - Phone:847-732-2017
Mailing Address - Fax:
Practice Address - Street 1:3817 SUGAR LOAF LN
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1976
Practice Address - Country:US
Practice Address - Phone:847-732-2017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0220241223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL948670001Medicare PIN