Melanie De Leon is a Dentist in Modesto, California. Melanie De Leon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Melanie De Leon is 1073596185. The last update date is 2023-03-07.
Melanie De Leon's current location address is 1717 Las Vegas St, Modesto, California. You can contact this provider via phone number 2095565044 and fax number 2095665047. The mailing address for Melanie De Leon is 1717 Las Vegas St, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melanie De Leon |
|---|---|
| Address | 1717 Las Vegas St, Modesto, California |
| Phone Number | 2095565044 |
| Fax Number | 2095665047 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1073596185 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1717 Las Vegas St |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953585500 |
| Phone Number | 2095565044 |
| Fax Number | 2095665047 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 41247 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Melanie De Leon by the Centers for Medicare & Medicaid Services?
The Melanie De Leon has been issued the NPI (National Provider Identifier) 1073596185, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Melanie De Leon?
The Melanie De Leon is physically situated at 1717 Las Vegas St, in the city of Modesto, state of CA, with the postal code 953585500.
What is Melanie De Leon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melanie De Leon is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073596185 to Melanie De Leon?
The Centers for Medicare & Medicaid Services originally issued the 1073596185 to Melanie De Leon on 2005-11-22.
When was the information regarding Melanie De Leon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Melanie De Leon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.
NPI Number: 1306849500
Address: 1009 North State Of Franklin Access Road, Johnson City, TN