Provider Demographics
NPI:1609626704
Name:MELHEM, NEIMAN ANTHONY
Entity type:Individual
Prefix:
First Name:NEIMAN
Middle Name:ANTHONY
Last Name:MELHEM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 WHITEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2146
Mailing Address - Country:US
Mailing Address - Phone:617-909-9257
Mailing Address - Fax:
Practice Address - Street 1:303 DILLINGHAM AVE
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-3311
Practice Address - Country:US
Practice Address - Phone:617-909-9257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN100004651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice