Provider Demographics
NPI:1558834333
Name:HILARIO JOSEPH MELO
Entity Type:Organization
Organization Name:HILARIO JOSEPH MELO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HILARIO
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MELO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:315-866-2970
Mailing Address - Street 1:314 N PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-1911
Mailing Address - Country:US
Mailing Address - Phone:315-866-2970
Mailing Address - Fax:315-867-5979
Practice Address - Street 1:314 N PROSPECT ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-1911
Practice Address - Country:US
Practice Address - Phone:315-866-2970
Practice Address - Fax:315-867-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental