Provider Demographics
NPI:1992891816
Name:MEEKER, IRVING A (MS, DDS)
Entity type:Individual
Prefix:DR
First Name:IRVING
Middle Name:A
Last Name:MEEKER
Suffix:
Gender:M
Credentials:MS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 S OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3726
Mailing Address - Country:US
Mailing Address - Phone:626-483-0939
Mailing Address - Fax:
Practice Address - Street 1:148 N GRAND AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1728
Practice Address - Country:US
Practice Address - Phone:626-483-0939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0325921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice