Lopez, Melvin

Lopez, Melvin is an individual health care provider with primary practice located at 2503 President St , Palatka FL 32177-5433. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Lopez, Melvin can be contacted via phone (386) 328-7638.

Contact Information

Primary practice address
2503 President St Palatka FL 32177-5433
Phone: (386) 328-7638
Fax: (386) 328-9644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN20873 Florida
Dental Providers / Dentist 122300000X DN20873 Florida

Profile Details

NPI number 1689081242
LBN Legal business name Lopez, Melvin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2014
Last updated Jun 8th, 2016 - about 9 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 1689081242 NPPES
Florida MEDICAID 015271300

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