Basic Information
| Provider Information | |||||||||
| NPI: | 1699982983 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MELTZER | ||||||||
| FirstName: | SEAN | ||||||||
| MiddleName: | ANGELA WILLIAMS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 109 CHESLEY LN | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275141460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9193235069 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 322 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | PROSPECT HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 273149438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3365623311 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2007 | ||||||||
| LastUpdateDate: | 11/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 8117 | NC | Y | Dental Providers | Dentist | General Practice |
No ID Information.