Provider Demographics
NPI:1003018037
Name:NADLER, MELANIE ANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:ANNE
Last Name:NADLER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 WHITLOCK AVE SW STE C
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1996
Mailing Address - Country:US
Mailing Address - Phone:770-422-5614
Mailing Address - Fax:
Practice Address - Street 1:1075 WHITLOCK AVE SW STE C
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-1996
Practice Address - Country:US
Practice Address - Phone:770-422-5614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0129061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice