Iesha Quinetta Meredith

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902014413 Issued in MI

Practice address

18 Market St Ste C
Mount Clemens, MI 48043-7403

Phone

(586) 783-2222

Fax

(786) 229-1223

NPI assigned

Aug 8, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1518640432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3256 BURLINGAME ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482061436",
            "telephone_number": "313-648-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MARKET ST STE C",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437403",
            "telephone_number": "586-783-2222",
            "fax_number": "786-229-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 E 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Center Line",
            "state": "MI",
            "postal_code": "480151168",
            "country_code": "US",
            "telephone_number": "586-756-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "IESHA",
        "middle_name": "QUINETTA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902014413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavel Medved, DO
• Craig T Meisner, D.O
• Donna L. Meldrum, MA, LPC, NCC
• Patricia Ann Meli, BA
• Jeninne Marie Melkonian, NP-C
• Todd Lamont Merriwether Sr.
• Mi Care Pharmacy LLC (Mi Care Pharmacy II)
• Michael J Mattingly, D.O. PC
• Michael J. Kitto, D.O., P.C.
• Michael Sherbin DO PC

• Dental Hygienist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.