Provider Demographics
NPI:1619052180
Name:DRUM, MELISSA MCCARTNEY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MCCARTNEY
Last Name:DRUM
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 E BEAUMONT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2155
Mailing Address - Country:US
Mailing Address - Phone:614-262-8954
Mailing Address - Fax:
Practice Address - Street 1:DENTAL FACULTY PRACTICE ASSOCIATION INC.- STANLEY G. V.
Practice Address - Street 2:305 W 12TH AVE
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1267
Practice Address - Country:US
Practice Address - Phone:614-292-1472
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0222841223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics