Provider Demographics
NPI:1356593586
Name:POWER, ERIN MELISSA (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MELISSA
Last Name:POWER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:MELISSA
Other - Last Name:GRISWOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:777 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2206
Mailing Address - Country:US
Mailing Address - Phone:732-815-1977
Mailing Address - Fax:732-815-1985
Practice Address - Street 1:777 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2206
Practice Address - Country:US
Practice Address - Phone:732-815-1977
Practice Address - Fax:732-815-1985
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI023805001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry