Mark W Melson is a Dentist in Raytown, Missouri. Mark W Melson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark W Melson is 1790840106. The last update date is 2007-07-08.
Mark W Melson's current location address is 10016 E 67th St, Raytown, Missouri. You can contact this provider via phone number 8167373400. The mailing address for Mark W Melson is 10016 E 67th St, Raytown, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Melson |
|---|---|
| Address | 10016 E 67th St, Raytown, Missouri |
| Phone Number | 8167373400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790840106 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10016 E 67th St |
|---|---|
| City | Raytown |
| State | Missouri (MO) |
| Post Code | 641335219 |
| Phone Number | 8167373400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13695 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1B0J4C | MO | DENTE-MAX ID NUMBER | |
| 18507068 | MO | BLUE CROSS BLUE SHIELD ID |
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What is the unique provider identifier assigned to Mark W Melson?
The Mark W Melson has been issued the NPI (National Provider Identifier) 1790840106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark W Melson?
The Mark W Melson is physically situated at 10016 E 67Th St, in the city of Raytown, state of MO, with the postal code 641335219.
What is the Mark W Melson's specialty and taxonomy code?
The Mark W Melson's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790840106 to Mark W Melson?
The Centers for Medicare & Medicaid Services originally issued the 1790840106 to Mark W Melson on 2006-12-26.
When was the information regarding Mark W Melson most recently updated?
The details pertaining to the Mark W Melson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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