Provider Demographics
NPI:1699531871
Name:DODDS, MELISSA (RDH)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:DODDS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43661 YULAN ST
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-7148
Mailing Address - Country:US
Mailing Address - Phone:314-540-5627
Mailing Address - Fax:
Practice Address - Street 1:43661 YULAN ST
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-7148
Practice Address - Country:US
Practice Address - Phone:314-540-5627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist