Provider Demographics
NPI:1588493373
Name:MELISSA N. WARNICK DDS PLLC
Entity type:Organization
Organization Name:MELISSA N. WARNICK DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:864-270-3770
Mailing Address - Street 1:71 EVELYN DR
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-4503
Mailing Address - Country:US
Mailing Address - Phone:864-270-3770
Mailing Address - Fax:
Practice Address - Street 1:176 VALLEY ST
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:WV
Practice Address - Zip Code:25213-7306
Practice Address - Country:US
Practice Address - Phone:304-586-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice