Provider Demographics
NPI:1821222696
Name:TOWE, MELANIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:TOWE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4830
Mailing Address - Country:US
Mailing Address - Phone:240-651-5478
Mailing Address - Fax:
Practice Address - Street 1:607 W 2ND ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4830
Practice Address - Country:US
Practice Address - Phone:240-651-5478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014124481223P0300X
MD144391223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics