Provider Demographics
NPI:1235117573
Name:ALLGEYER, MELANIE DEMARIA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:DEMARIA
Last Name:ALLGEYER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:ELAINE
Other - Last Name:DEMARIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:2302 S NASH ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-1542
Mailing Address - Country:US
Mailing Address - Phone:757-814-6163
Mailing Address - Fax:
Practice Address - Street 1:2302 S NASH ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-1542
Practice Address - Country:US
Practice Address - Phone:757-814-6163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533381223G0001X
NJ22DI020082001223G0001X
VA04014115031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice