Provider Demographics
NPI:1346352531
Name:EHRLICH, MELVIN A (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:A
Last Name:EHRLICH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:223 WALNUT STREET
Mailing Address - Street 2:SUITE 22
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702
Mailing Address - Country:US
Mailing Address - Phone:508-875-5437
Mailing Address - Fax:508-820-3031
Practice Address - Street 1:223 WALNUT STREET
Practice Address - Street 2:SUITE 22
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-875-5437
Practice Address - Fax:508-820-3031
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA180571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAX10689OtherBLUE CROSS BLUE SHIELD