Doctor Name: | DR. MARIA L. MELITON |
NPI Number: | 1669544565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.M.D. |
License Number: | DS026954L |
Business Practice Address: | 5351 Lincoln Hwy Suite 1 Gap, PA - 175279468 |
Business Phone Number: | 7174425647 |
Business Fax Number: | 7174420843 |
Mailing Address: | 5351 Lincoln Hwy, Suite 1 GAP |
State: | PA |
Postal Code: | 175279468 |
Phone Number: | 7174425647 |
Fax Number: | 7174420843 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS026954L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |