Provider Demographics
NPI:1346777448
Name:MELCHER, ARCHIBALD LOUIS IV (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARCHIBALD
Middle Name:LOUIS
Last Name:MELCHER
Suffix:IV
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 DREYFOUS AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-1222
Mailing Address - Country:US
Mailing Address - Phone:504-756-0940
Mailing Address - Fax:
Practice Address - Street 1:40470 GERMANY RD
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-6735
Practice Address - Country:US
Practice Address - Phone:504-756-0940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6748122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist