Healthcare Provider Details

I. General information

NPI: 1841275468
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH MEUNIER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4827 DAVIS LANT DR STE.#G
EVANSVILLE IN
47715-8946
US

IV. Provider business mailing address

4827 DAVIS LANT DR STE.#G
EVANSVILLE IN
47715-8946
US

V. Phone/Fax

Practice location:
  • Phone: 812-402-7676
  • Fax: 812-402-7979
Mailing address:
  • Phone: 812-402-7676
  • Fax: 812-402-7979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12010454A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: