Michael J Melde in Lake Havasu City - Endodontics
Michael J Melde - NPI 1417099698
Michael J Melde is a Endodontics in Lake Havasu City, Arizona. Michael J Melde practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Michael J Melde is 1417099698. The last update date is 2007-07-08.
Michael J Melde's current location address is 2156 Mcculloch Blvd, Lake Havasu City, Arizona. You can contact this provider via phone number 9288545551 and fax number 9288545628. The mailing address for Michael J Melde is 2156 Mcculloch Blvd, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Melde |
|---|---|
| Address | 2156 Mcculloch Blvd, Lake Havasu City, Arizona |
| Phone Number | 9288545551 |
| Fax Number | 9288545628 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1417099698 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2156 Mcculloch Blvd |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 86403 |
| Phone Number | 9288545551 |
| Fax Number | 9288545628 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 3345 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 91885 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael J Melde?
The Michael J Melde has been issued the NPI (National Provider Identifier) 1417099698 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 street address where Michael J Melde is physically located?
The Michael J Melde is physically situated at the following address: 2156 Mcculloch Blvd, Lake Havasu City, AZ, 86403.
What is the area of specialization for Michael J Melde, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael J Melde is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417099698 to Michael J Melde?
The Michael J Melde received its 1417099698 assignment from the Centers for Medicare & Medicaid Services on 2007-02-13.
As of what date was the information regarding Michael J Melde, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael J Melde, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.