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Contact Information

MARK M MEREDITH JR, DDS
8066 HWY 165
COLUMBIA, LA71418
 Phone: 318-649-6161
 Fax: 318-649-6161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MARK M MEREDITH JR · (Male)

NPI Number 1548497738
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/16/2009
Last updated 07/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 5975
  • LA Medicaid 1859753
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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