Richard W. Economou, DDS – General Practice Dentistry

Key facts

NPI: 1497190847
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 12006445A (IN)
Practice address: 1630 45TH Ave
Suite 104
Munster, IN 46321-3963
Phone: (219) 924-8766
Fax: (219) 924-8762
NPI assigned: Apr 29, 2013
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Jeffrey T. Meister, DDS, LLC General Practice Dentistry · Munster, IN · NPI 1821207853

NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
12006445A	IN	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Jeffrey T. Meister, DDS, LLC	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	12006445A	IN	Yes

Addresses

Primary practice location

1630 45TH Ave
Suite 104
Munster, IN 46321-3963

Mailing address

1630 45TH Ave
Suite 104
Munster, IN 46321-3963
Phone (219) 924-8766

Other providers in Munster, IN

All providers in Munster, IN · General Practice Dentistry in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.