Provider Demographics
NPI:1962101758
Name:HOWELL, MEAGAN (BS, RDH)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:BS, RDH
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:FISHER
Other - Last Name:WORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, RDH
Mailing Address - Street 1:626 SADDLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37090-1802
Mailing Address - Country:US
Mailing Address - Phone:931-529-8889
Mailing Address - Fax:
Practice Address - Street 1:401 S MOUNT JULIET RD STE 320
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8475
Practice Address - Country:US
Practice Address - Phone:615-762-3807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDH0000007689124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000007689OtherDENTAL BOARD LICENSE #