Provider Demographics
NPI:1902586159
Name:MEACHAM, ELIZABETH ZIEMAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ZIEMAN
Last Name:MEACHAM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:LIZZIE
Other - Middle Name:
Other - Last Name:MEACHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:4736 AIRPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3171
Mailing Address - Country:US
Mailing Address - Phone:251-344-7096
Mailing Address - Fax:
Practice Address - Street 1:4736 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3171
Practice Address - Country:US
Practice Address - Phone:251-344-7096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-21
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007504-C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist