MEDICARE: DR. ANNE MARIE MEYER D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	D7627	OR

General Provider Information

NPI Number	:	1942416565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE MARIE MEYER D.D.S.

Provider Business Mailing Address
First Line	:	1660 N COAST HWY
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365
Country	:	US
Telephone Number	:	541-265-8551
Fax Number	:	541-574-8954

Provider Business Practice Location Address
First Line	:	1660 N COAST HWY
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-2357
Country	:	US
Telephone Number	:	541-265-8551
Fax Number	:	541-574-8954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	07/08/2007

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