Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 30-022283 | OH |
NPI | 1407921141 |
---|---|
Provider Name | Dr. Melissa Anne Meier |
First Address | Pataskala, OH 43062-8268 |
Second Address | Zanesville, OH 43701-3791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 02/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2632182 | (05) | OH |