| Doctor Name: | DR. THOMAS J. MEAKEM |
| NPI Number: | 1013174549 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | 3853 |
| Business Practice Address: | 9450 Pennsylvania Ave Ste. 15 Upper Marlboro, MD - 207723665 |
| Business Phone Number: | 3015996300 |
| Business Fax Number: | |
| Mailing Address: | 9450 Pennsylvania Ave, Ste. 15 UPPER MARLBORO |
| State: | MD |
| Postal Code: | 207723665 |
| Phone Number: | 3015996300 |
| Fax Number: | |
| NPI Enumeration Date: | 05/21/2008 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1700X |
| License Number: | 3853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Ocularist |
| Taxonomy Definition: | |