JEFFREY A. MELTZER, D.M.D.,P.C. (NPI# 1043584196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043584196 |
| Entity Type | Organization |
| Organization Name | JEFFREY A. MELTZER, D.M.D.,P.C. |
| Practice Address |
516 E Genesee St Fayetteville NY 13066-1537 |
| Practice Telephone | 3156374466 |
| Practice Fax Number | 3156378874 |
| Mailing Telephone | 3156374466 |
| Mailing Fax Number | 3156378874 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | DR. JEFFREY ALAN MELTZER (PRESIDENT) |
| Authorized Official Telephone | 3156374466 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
029435 | NY | Dental Providers |
| Street Address |
516 E GENESEE ST |
| City | FAYETTEVILLE |
| State | NY |
| Zip Code | 13066-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275618019 | Vitkus and Scutari Dds, PC | Dentist | 516 E Genesee St, Fayetteville, NY 13066-1537 | 2006-10-26 |
| 1275629743 | Robert J Vitkus | Dentist | 516 E Genesee St, Fayetteville, NY 13066-1537 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1699221432 | Roman Batyuk | Nurse Practitioner | 4100 Medical Center Drive, Fayetteville, NY 13066 | 2016-08-31 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| 1124394671 | Susan Hartman Brenizer | Marriage & Family Therapist | 7000 E Genesee St Lyndon Office Park, Bldg. A, Second Floor (upper Level), Fayetteville, NY 13066 | 2012-03-29 |
| 1245541432 | Rene L Converse | Occupational Therapist | 7200 E. Genesee Street, Fayetteville, NY 13066 | 2010-06-23 |
| 1689815805 | Menorah Park Group Residents | Clinic/Center | 12 Jamar Drive, Dewitt, NY 13066 | 2009-03-18 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| Find all providers in zip 13066 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952650095 | Ping Seung Alice Wu | Dentist | 2029 Valleygate Dr Ste 201, Fayetteville, NC 28304-3772 | 2012-09-05 |
| 1235355017 | Myra Shivers | Dentist | 118 N Park Dr, Fayetteville, GA 30214-1645 | 2007-04-18 |
| 1417094392 | James M Vlassis | Dentist | 100 N Burdick St, Fayetteville, NY 13066-1319 | 2007-01-31 |
| 1497852495 | Michael Curry | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| 1346468915 | William Wes Shelton | Dentist | 2001 N Green Acres Rd, Fayetteville, AR 72703-2619 | 2007-04-20 |
| 1447473947 | Ashish Kukreja | Dentist | 570 W Lanier Ave, Fayetteville, GA 30214-7649 | 2007-04-11 |
| 1780725465 | J. Michael Ruff, Dds, Pa | Dentist | 823 Elm St, Suite 220, Fayetteville, NC 28303-4172 | 2007-02-08 |
| 1346311800 | James Michael Ruff | Dentist | 823 Elm St, Suite 220, Fayetteville, NC 28303-4172 | 2006-11-13 |
| 1053418038 | Northwest Arkansas Periodontal Associates, Pllc | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| 1225135239 | Richard Pierce Osborne II | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2006-09-20 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 13066 |
Please comment or provide details below to improve the information on JEFFREY A. MELTZER, D.M.D.,P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.