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NPI Code Detail

MEDICARE: DR. MARC J MEADOWS DDS

MEDICARE: DR. MARC J MEADOWS DDS
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
11223G0001XGeneral Practice Dentistry30755TX
21223G0001XGeneral Practice Dentistry12010415IN

General Provider Information

NPI Number : 1972550630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC J MEADOWS DDS
Provider Business Mailing Address
First Line : 6439 GARNERS FERRY RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1638
Country : US
Telephone Number : 803-776-4000
Fax Number :
Provider Business Practice Location Address
First Line : 3080 N EASTMAN RD
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5174
Country : US
Telephone Number : 903-309-2152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 10/02/2025

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Directions to “ DR. MARC J MEADOWS DDS” Practice Location

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