Healthcare Provider Details

I. General information

NPI: 1558323667
Provider Name (Legal Business Name): MELANIE BETH SATTERFIELD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 W LORAIN STREET
OBERLIN OH
44074
US

IV. Provider business mailing address

10980 LAGRANGE RD
ELYRIA OH
44035
US

V. Phone/Fax

Practice location:
  • Phone: 440-775-7645
  • Fax: 440-774-7645
Mailing address:
  • Phone: 440-458-6292
  • Fax: 440-458-6294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30020398
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: