National Provider Identifier

Melissa J Diehl, CDA

Melissa J Diehl, CDA is listed in the NPPES registry with a primary specialty of Dental Assistant in Lackawanna, NY and a listed phone number of (716) 828-9334.

NPI 1215194428Lackawanna, NYDental Assistant

Profile Overview

NPI
1215194428
Provider Type
Individual
Primary Specialty
Dental Assistant
Enumeration Date
May 16, 2008
Last Updated
May 16, 2008

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 828-9334

Specialties

  • Dental Assistant (126800000X)
Full Record
NPI
1215194428
Entity Type
Individual
Last Name
Diehl
First Name
Melissa
Middle Name
J
Credential
CDA
Mailing Street Address
790 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 828-9334
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-9334
Enumeration Date
May 16, 2008
Last Updated
May 16, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dental Assistant (126800000X)