Provider Demographics
NPI:1679690747
Name:EICHER, MELISSA JANE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JANE
Last Name:EICHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 WEST LANCASTER AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SHILLINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19607-1874
Mailing Address - Country:US
Mailing Address - Phone:610-777-2600
Mailing Address - Fax:610-777-6862
Practice Address - Street 1:122 WEST LANCASTER AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-1874
Practice Address - Country:US
Practice Address - Phone:610-777-2600
Practice Address - Fax:610-777-6862
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026363L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist