MEDICARE: QUINN MEEHAN

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	D010866	AZ
2	390200000X	Student in an Organized Health Care Education/Training Program
3	122300000X	Dentist	00204913	CO

General Provider Information

NPI Number	:	1306406566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUINN MEEHAN

Provider Business Mailing Address
First Line	:	940 CENTRAL PARK DR STE 101
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8853
Country	:	US
Telephone Number	:	970-879-1632
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 CENTRAL PARK DR STE 101
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-8853
Country	:	US
Telephone Number	:	970-879-1632
Fax Number	:

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

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	04/21/2026

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Directions to “ QUINN MEEHAN ” Practice Location

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