=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487519682
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSHUA A. MEADOR, DDS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/19/2025
-----------------------------------------------------
Last Update Date | 12/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3302 64TH ST STE B
-----------------------------------------------------
City | LUBBOCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79413-5743
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-792-4889
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3302 64TH ST STE B
-----------------------------------------------------
City | LUBBOCK
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79413-5743
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-792-4889
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / GENERAL DENTIST
-----------------------------------------------------
Name | JOSHUA MEADRO
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 806-792-4889
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------