Healthcare Provider Details

I. General information

NPI: 1407921141
Provider Name (Legal Business Name): MELISSA ANNE MEIER D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA ANNE MERZ

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 EXECUTIVE CAMPUS DR
WESTERVILLE OH
43082-7172
US

IV. Provider business mailing address

261 RIVER BEND CT
NEWARK OH
43055
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-3130
  • Fax: 614-890-8466
Mailing address:
  • Phone: 614-397-5377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number30-022283
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: