Anne Elaine Meeuwsen, D.D.S.
Individual provider Active NPI General Practice Dentistry · Ravenna, MI
NPI 1164658779 · NPPES record last updated Aug 18, 2014
Key facts
- NPI
- 1164658779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901020467 (MI)
- Practice address
- 12374 Stafford St
Ravenna, MI 49451-5104 - Phone
- (517) 896-8018
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150224001874 | MI | Order and Referring Only - Oral Surgery |
1759607419 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4104 | ME | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4104 | ME | |
| General Practice Dentistry | 1223G0001X | 2901020467 | MI | Yes |
Addresses
Primary practice location
12374 Stafford St
Ravenna, MI 49451-5104
Mailing address
12374 Stafford St
PO Box 204
Ravenna, MI 49451-5104
Phone (517) 896-8018
Other providers in Ravenna, MI
- Hackley Community Care Center, Inc
- Hometown Pharmacy Inc
- Summer Little
- Carla Renee Martin
- Meeuwsen Dental PLLC
- Daniel Paul Meeuwsen
- Missi'S Place Counseling, PLLC
- Bonnie Jean Pline
- Kyle Stanley Pline
- Hillarey Poffinbarger
All providers in Ravenna, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.