National Provider Identifier
Melanie Fetzer, RDH
Melanie Fetzer, RDH is listed in the NPPES registry with a primary specialty of Dental Hygienist in Lackawanna, NY and a listed phone number of (716) 828-9348.
Profile Overview
- NPI
- 1043537764
- Provider Type
- Individual
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- April 21, 2010
- Last Updated
- April 21, 2010
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1701
Phone: (716) 828-9348
Mailing Address
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Specialties
- Dental Hygienist (124Q00000X)
Full Record
- NPI
- 1043537764
- Entity Type
- Individual
- Last Name
- Fetzer
- First Name
- Melanie
- Name Prefix
- Mrs.
- Credential
- RDH
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Mailing Phone
- (716) 828-9348
- Mailing Fax
- (716) 828-9355
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1701
- Practice Country
- US
- Practice Phone
- (716) 828-9348
- Practice Fax
- (716) 828-9355
- Enumeration Date
- April 21, 2010
- Last Updated
- April 21, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Hygienist (124Q00000X)