Provider Demographics
NPI:1164696431
Name:TOPEL, MELVYN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELVYN
Middle Name:A
Last Name:TOPEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:MELVYN
Other - Middle Name:Q
Other - Last Name:TOPEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:283 COMMACK RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-6021
Mailing Address - Country:US
Mailing Address - Phone:631-400-5055
Mailing Address - Fax:631-499-3008
Practice Address - Street 1:283 COMMACK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-6021
Practice Address - Country:US
Practice Address - Phone:631-400-5055
Practice Address - Fax:631-499-3008
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0271991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice