Healthcare Provider Details

I. General information

NPI: 1629961941
Provider Name (Legal Business Name): MEER DENTAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9533 LE CLAIRE AVE
SKOKIE IL
60077-1219
US

IV. Provider business mailing address

9933 LAWLER AVE STE 455
SKOKIE IL
60077-3750
US

V. Phone/Fax

Practice location:
  • Phone: 929-434-8653
  • Fax:
Mailing address:
  • Phone: 929-434-8653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SUMREEN BALAL MEER
Title or Position: DENTIST
Credential: DDS
Phone: 929-434-8653