David Wayne Melton, DR
Dentist, General Practice in Humboldt, TN. Individual provider (NPI-1).
NPI number1063508380
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063508380
- Entity type
- Individual (NPI-1)
- Name
- David Wayne Melton
- Credential
- DR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS4294 | TN | Yes |
Practice location
3701 E End DrHumboldt, TN 38343
Phone 731-784-4322 · Fax 731-784-0912
Mailing address
3701 E End DrHumboldt, TN 38343
Phone 731-784-4322 · Fax 731-784-0912
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