Provider Demographics
NPI:1942047188
Name:MARTINI, MEGHAN (DDS)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:MARTINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 WILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-4149
Mailing Address - Country:US
Mailing Address - Phone:812-584-3225
Mailing Address - Fax:
Practice Address - Street 1:1500 FLOSSIE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-8550
Practice Address - Country:US
Practice Address - Phone:812-537-4272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014518A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice