Provider Demographics
NPI:1730229519
Name:ARMACOST, MELINDA RYAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:RYAN
Last Name:ARMACOST
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:MELINDA
Other - Middle Name:ANN
Other - Last Name:RYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7 GEORGE ROOT WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-1471
Mailing Address - Country:US
Mailing Address - Phone:978-664-1390
Mailing Address - Fax:
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-3104
Practice Address - Country:US
Practice Address - Phone:978-664-3141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA178871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice