Individual
DR. MELISSA ANSON JARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5111 CLINTON DRIVE, KOKOMO, IN 46902
(765) 453-4369
(833) 245-9985
Mailing address
5111 CLINTON DRIVE, KOKOMO, IN 46902
(765) 453-4369
(833) 245-9985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200257450A
—
IN
Enumeration date
08/02/2006
Last updated
05/02/2022
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