Most Relevant Information
Provider Data
| NPI Number: | 1003201112 |
| Provider Name: | JASON MEINHARDT DDS, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223X0400X |
| Specialty: | Dentist |
| License Number: | 1001453-15 |
Most Important Dates
| Enumeration Date: | 04/06/2015 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
2115 S MEMORIAL PL
SHEBOYGAN
WI
53081
Practice Location Phone/Fax
| Phone: | 9204587781 |
| Fax: | 9204582015 |
Provider Mailing Location
2115 S MEMORIAL PL
SHEBOYGAN
WI
530813714
Provider Mailing Phone/Fax
| Phone: | 9204587781 |
| Fax: |