IndividualActive
Alfredo Fanelli
NPI 1043370919 · Periodontics · Melbourne, FL
Provider details
- NPI number
- 1043370919
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN12492 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1770 N Wickham Rd
Melbourne, FL 32935-8122
Phone: (321) 235-0606
Approximate (ZIP-level) locationGet directions
Mailing address
1770 N Wickham Rd
Melbourne, FL 32935-8122
Registry dates
- Enumerated
- 2006-12-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.