Individual
DR. SIOBHIAN MELINDA BACCHUS SPROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPA
Contact information
Practice address
3401 GEORGIA AVE NW, WASHINGTON, DC 20010
(202) 829-5437
(202) 829-9255
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401412318
VA
1223P0221X
Pediatric Dentistry
15112
MD
1223P0221X
Pediatric Dentistry
DEN1000855
DC
1223P0221X
Pediatric Dentistry
Primary
DN1857887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037892500
—
DC
Enumeration date
09/06/2008
Last updated
07/21/2020
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