Provider Demographics
NPI:1164004453
Name:SAVARESE, MELCHIOR FRANCIS ROSARIO IV (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELCHIOR
Middle Name:FRANCIS ROSARIO
Last Name:SAVARESE
Suffix:IV
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:250 MASTERPIECE LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-2126
Mailing Address - Country:US
Mailing Address - Phone:540-877-6561
Mailing Address - Fax:
Practice Address - Street 1:520 N 12TH ST STE 238
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5064
Practice Address - Country:US
Practice Address - Phone:804-828-6637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
VA04420004551223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program