Healthcare Provider Details

I. General information

NPI: 1346711454
Provider Name (Legal Business Name): JANETH MEYER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 06/04/2022
Certification Date: 06/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 DR DB TODD JR BLVD
NASHVILLE TN
37208-3501
US

IV. Provider business mailing address

1608 LINCOYA BAY DR
NASHVILLE TN
37214-2767
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-5572
  • Fax:
Mailing address:
  • Phone: 615-209-8586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number11897
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11897
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: