1285681924 NPI number —

Table of content: DR. MELISA GILBEY POTOCKI D.M.D. (NPI 1770996399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285681924 NPI number —

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

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NPI Number Information

NPI Number:
1285681924
Entity Type Code:
Replacement NPI:
Last Update Date:
NPI Deactivation Reason Code:
NPI Deactivation Date:
02/05/2009
NPI Reactivation Date:

Provider's Business Mailing Address

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Provider's Practice Location Mailing Address

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Provider Enumeration Date:

Additional Information

			
		

Authorized Official

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Authorized Official Telephone Number:

Provider Taxonomy Codes

Other Provider's Identifiers (legacy, non-NPI)