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MELISSA MULLANE PADGETT DDS LLC NPI 1083941314


NPI Information

NPI: 1083941314
Provider Name: MELISSA MULLANE PADGETT, DDS, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1006 BOARDMAN CANFIELD RD
SUITE 1A
BOARDMAN, OH
ZIP 44512
Phone: (330) 726-6700
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MELISSA MULLANE PADGETT, DDS, LLC is a general practice dentist in Boardman, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MELISSA MULLANE PADGETT, DDS, LLC NPI is 1083941314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1006 BOARDMAN CANFIELD RD
SUITE 1A
BOARDMAN, OH
ZIP 44512-278
Phone: (330) 726-6700
Fax: (330) 965-9594

The provider's authorized official is Melissa Marie Padgett .
The authorized official title is Dentist and has the following contact phone number (330) 726-6700.

The enumeration date for this NPI number is 11/6/2009 and was last updated on 11/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice30021871OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12682539MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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