Provider Demographics
NPI:1386759298
Name:MELE, JOSEPH R (DDS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:R
Last Name:MELE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 UNION AVENUE
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807
Mailing Address - Country:US
Mailing Address - Phone:908-526-2266
Mailing Address - Fax:908-526-5096
Practice Address - Street 1:215 UNION AVENUE
Practice Address - Street 2:SUITE D
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-526-2266
Practice Address - Fax:908-526-5096
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0087371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice