Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERUSA MELLO-ANDERSON, D.D.S.
ActiveGERUSA MELLO-ANDERSON, D.D.S. is a Pediatric Dentistry healthcare provider located in O FALLON, Illinois. NPI 1790871721 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · O FALLON, IL
Registration Details
- NPI Number
- 1790871721
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2006 (19.867476123223 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
4945 STONE FALLS CTRSUITE BO FALLON, IL, 622697802Browse IL providers · Browse ZIP 62269
- Phone
- 6186220212
- Fax
- 6186221996
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| KEVIN CHARLES BEYERSDORFER | DDS | 1295814002 |
| CHRISTOPHER JOHN HAAS | — | 1932782703 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.