Meincken Bob, Melissa

Meincken Bob, Melissa is an individual health care provider with primary practice located at 3601 Nw 107Th Ave , Doral FL 33178-4377. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Meincken Bob, Melissa can be contacted via phone (786) 624-3368.

Contact Information

Primary practice address
3601 Nw 107Th Ave Doral FL 33178-4377
Phone: (786) 624-3368
Fax: (305) 662-8314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN19604 Florida

Profile Details

NPI number 1912234782
LBN Legal business name Meincken Bob, Melissa
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2009
Last updated Feb 27th, 2024 - about last year

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 1912234782 NPPES
Florida MEDICAID 006684000

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