Provider Demographics
NPI:1811285497
Name:CASEY, MELANIE (DMD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:CASEY
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 1:176 STRADLEY MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-9538
Mailing Address - Country:US
Mailing Address - Phone:601-622-1508
Mailing Address - Fax:
Practice Address - Street 1:176 STRADLEY MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-9538
Practice Address - Country:US
Practice Address - Phone:601-622-1508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9335122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist