Provider Demographics
NPI:1053409243
Name:MELISSA E RINCK DDS APC
Entity type:Organization
Organization Name:MELISSA E RINCK DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:E
Authorized Official - Last Name:RINCK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-479-4977
Mailing Address - Street 1:750 LAS GALLINAS
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903
Mailing Address - Country:US
Mailing Address - Phone:415-479-4977
Mailing Address - Fax:415-479-5043
Practice Address - Street 1:750 LAS GALLINAS
Practice Address - Street 2:SUITE 215
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903
Practice Address - Country:US
Practice Address - Phone:415-479-4977
Practice Address - Fax:415-479-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37730122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty