Provider Demographics
NPI:1831613355
Name:LOEHRLEIN, MELANIE B (DDS)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:B
Last Name:LOEHRLEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 MESA OAK TRL
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4718
Mailing Address - Country:US
Mailing Address - Phone:972-369-3698
Mailing Address - Fax:
Practice Address - Street 1:720 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3105
Practice Address - Country:US
Practice Address - Phone:972-727-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice