Dutton, Melonie Rachel

Dutton, Melonie Rachel is an individual health care provider with primary practice located at 1114 14Th St N , Texas City TX 77590-5413. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Dutton, Melonie Rachel can be contacted via phone (409) 945-8080.

Contact Information

Primary practice address
1114 14Th St N Texas City TX 77590-5413
Fax: (409) 945-4325
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 17982 Texas

Profile Details

NPI number 1508986183
LBN Legal business name Dutton, Melonie Rachel
Credentials D.D.S. (PEDIATRICS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508986183 NPPES
Texas Other G60405-01 CHIPS

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