Provider Demographics
NPI:1831644368
Name:ALCONCEL, MELISSA FISCHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:FISCHER
Last Name:ALCONCEL
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 1:8940 E. CRESCENT PARKWAY
Mailing Address - Street 2:SUITE 370
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-740-9353
Mailing Address - Fax:
Practice Address - Street 1:8940 E. CRESCENT PARKWAY
Practice Address - Street 2:SUITE 370
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:303-740-9353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202907122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist