Provider Demographics
NPI:1730789777
Name:JENNIFER A. LOWE-MELZAK, DDS, LLC
Entity type:Organization
Organization Name:JENNIFER A. LOWE-MELZAK, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE-MELZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-751-5200
Mailing Address - Street 1:3349 WHITFIELD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2084
Mailing Address - Country:US
Mailing Address - Phone:513-751-5200
Mailing Address - Fax:513-751-5503
Practice Address - Street 1:3349 WHITFIELD AVE STE 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2084
Practice Address - Country:US
Practice Address - Phone:513-751-5200
Practice Address - Fax:513-751-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental