Provider Demographics
NPI:1013038934
Name:ROYER, MELISSA RENEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:RENEE
Last Name:ROYER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7241 LANSING RD
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-9743
Mailing Address - Country:US
Mailing Address - Phone:517-675-5134
Mailing Address - Fax:517-675-4914
Practice Address - Street 1:7241 LANSING RD
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9743
Practice Address - Country:US
Practice Address - Phone:517-675-5134
Practice Address - Fax:517-675-4914
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI189061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice