MEDICARE: DR. JOHN H MEEKAY DMD

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	122300000X	Dentist	57125	CA
2	1223G0001X	General Practice Dentistry	27485	TX

General Provider Information

NPI Number	:	1992953236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN H MEEKAY DMD

Provider Business Mailing Address
First Line	:	7740 POLO CROSSE AVENUE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95829
Country	:	US
Telephone Number	:	916-897-6682
Fax Number	:

Provider Business Practice Location Address
First Line	:	2315 GUS THOMASSON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-3004
Country	:	US
Telephone Number	:	916-897-6682
Fax Number	:

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

Provider Enumeration Date	:	08/28/2008
Last Update Date	:	06/28/2021

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