Provider Demographics
NPI:1538106661
Name:MELETIOU & MELETIOU DDS, PA
Entity type:Organization
Organization Name:MELETIOU & MELETIOU DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MELETIOU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-875-1621
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28070
Mailing Address - Country:US
Mailing Address - Phone:704-875-1621
Mailing Address - Fax:704-875-1619
Practice Address - Street 1:131 MARGUERITE LANE
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-875-1621
Practice Address - Fax:704-875-1619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X
NC61131223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Yes122300000XDental ProvidersDentistGroup - Single Specialty