Provider Demographics
NPI:1497836357
Name:BURCHMAN, MEL A (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEL
Middle Name:A
Last Name:BURCHMAN
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 1:712A TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5956
Mailing Address - Country:US
Mailing Address - Phone:215-752-5505
Mailing Address - Fax:215-752-9342
Practice Address - Street 1:712A TRENTON RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-5956
Practice Address - Country:US
Practice Address - Phone:215-752-5505
Practice Address - Fax:215-752-9342
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA193931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice