Provider Demographics
NPI:1134248495
Name:ARMBRISTER, MELISSA H (DDS)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:H
Last Name:ARMBRISTER
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 1:1308 TUSCULUM BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-4225
Mailing Address - Country:US
Mailing Address - Phone:423-639-6120
Mailing Address - Fax:423-639-6128
Practice Address - Street 1:1308 TUSCULUM BLVD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4225
Practice Address - Country:US
Practice Address - Phone:423-639-6120
Practice Address - Fax:423-639-6128
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7979122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist