1053406595 NPI number — DR. MELISSA DIANNE MARIANI DDS

Table of content: DR. MELISSA DIANNE MARIANI DDS (NPI 1053406595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053406595 NPI number — DR. MELISSA DIANNE MARIANI DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARIANI
Provider First Name:
MELISSA
Provider Middle Name:
DIANNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053406595
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9015 SEQUOIA CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLAIN CITY
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-733-0144
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5080 BRADENTON SUITE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-799-5576
Provider Business Practice Location Address Fax Number:
614-766-2874
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  20142 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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