Provider Demographics
NPI:1477553360
Name:ADLER, MELVIN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:J
Last Name:ADLER
Suffix:
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 1:115 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2216
Mailing Address - Country:US
Mailing Address - Phone:516-569-4433
Mailing Address - Fax:516-374-9193
Practice Address - Street 1:115 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2216
Practice Address - Country:US
Practice Address - Phone:516-569-4433
Practice Address - Fax:516-374-9193
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23097122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist