Individual
DR. HEATHER MELISSA VANPELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
59 FRONTAGE RD N, MACON, MS 39341
(662) 726-4344
Mailing address
PO BOX 306, MACON, MS 39341
(601) 984-6028
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3547-10
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04574372
—
MS
Enumeration date
08/17/2010
Last updated
06/28/2022
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