Individual
DR. JOHN RICHARD MELANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
22 PINE ST, SUITE 208, BRISTOL, CT 06010-6948
(860) 314-0589
(860) 314-0584
Mailing address
22 PINE ST, SUITE 208, BRISTOL, CT 06010-6948
(860) 314-0519
(860) 314-0584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007519
CT
Other
Enumeration date
01/23/2007
Last updated
10/12/2015
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