Individual
DR. MELISSA SHAH KERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2015 INTERSTATE DRIVE, OPELIKA, AL 36801
(334) 203-2740
Mailing address
2015 INTERSTATE DRIVE, OPELIKA, AL 36801
(334) 203-2740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02573000
NJ
1223G0001X
General Practice Dentistry
Primary
D6228-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
22DI02573000
NJ
Other
Enumeration date
10/28/2014
Last updated
02/23/2017
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