Provider Demographics
NPI:1588792329
Name:ADELSPERGER, MELISSA JAYME (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:MELISSA JAYME
Middle Name:
Last Name:ADELSPERGER
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 PATRICK PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-2431
Mailing Address - Country:US
Mailing Address - Phone:317-858-4688
Mailing Address - Fax:317-858-4690
Practice Address - Street 1:1040 PATRICK PL
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-2431
Practice Address - Country:US
Practice Address - Phone:317-858-4688
Practice Address - Fax:317-858-4690
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120098401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics