DR. MICHAEL BLAIR MELUGIN DDS MS NPI 1407935794

NPI Information

NPI: 1407935794
Provider Name: DR. MICHAEL BLAIR MELUGIN, DDS MS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
20855 WATERTOWN RD
SUITE 240
WAUKESHA, WI
ZIP 53186
Phone: (262) 798-1421
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DR. Michael Blair Melugin, DDS MS is an oral and maxillofacial surgery dentist in Waukesha, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Michael Blair Melugin, DDS MS NPI is 1407935794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20855 WATERTOWN RD
SUITE 240
WAUKESHA, WI
ZIP 53186
Phone: (262) 798-1421
Fax: (262) 798-1494

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	4585	WISCONSIN	Yes
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	4585	WISCONSIN	X

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

NPI Synchronization or Removal

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