Provider Demographics
NPI:1942559174
Name:HONG, MERELYN CELESTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MERELYN
Middle Name:CELESTE
Last Name:HONG
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:TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Mailing Address - Street 2:ONE KNEELAND STREET
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Practice Address - Street 2:ONE KNEELAND STREET
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-510-2910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL13914122300000X
MADL13189122300000X
MADF11839122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist