Individual
MICHAEL MELANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1923 MARSHA SHARP FWY, 103, LUBBOCK, TX 79415-4036
(806) 744-6581
(806) 747-9794
Mailing address
400 GALLERIA PKWY SE, SUITE 800, ATLANTA, GA 30339-5980
(770) 916-5362
(678) 247-7829
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24899
TX
1223P0221X
Pediatric Dentistry
Primary
24899
TX
Other
Enumeration date
08/17/2009
Last updated
03/07/2022
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