Provider Demographics
NPI:1063767663
Name:MELANIE K. DUFOUR-PILNY
Entity type:Organization
Organization Name:MELANIE K. DUFOUR-PILNY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DUFOUR-PILNY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-539-1090
Mailing Address - Street 1:1035 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPE VALLEY
Mailing Address - State:RI
Mailing Address - Zip Code:02832-1608
Mailing Address - Country:US
Mailing Address - Phone:401-539-1090
Mailing Address - Fax:401-539-7460
Practice Address - Street 1:1035 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE VALLEY
Practice Address - State:RI
Practice Address - Zip Code:02832-1608
Practice Address - Country:US
Practice Address - Phone:401-539-1090
Practice Address - Fax:401-539-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2167122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty