Healthcare Provider Details

I. General information

NPI: 1710267653
Provider Name (Legal Business Name): KAREN MARIE MELE D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7031 CRIDER RD
MARS PA
16046-2385
US

IV. Provider business mailing address

4760 LIBERTY AVE
PITTSBURGH PA
15224-2040
US

V. Phone/Fax

Practice location:
  • Phone: 724-772-2929
  • Fax:
Mailing address:
  • Phone: 412-687-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS038641
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: