Provider Demographics
NPI:1396127908
Name:SCARFONE, MELANIE ROSE (DMD)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:ROSE
Last Name:SCARFONE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 NE 2ND ST # ST304
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-3741
Mailing Address - Country:US
Mailing Address - Phone:203-598-6850
Mailing Address - Fax:
Practice Address - Street 1:2490 CAT CAY LANE, RESIDENTIAL, RESIDENTIAL
Practice Address - Street 2:RESIDENTIAL
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-3331
Practice Address - Country:US
Practice Address - Phone:203-598-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21305122300000X
FLDN213051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist