Melde, Michael J

Melde, Michael J is an individual health care provider with primary practice located at 2156 Mcculloch Blvd #6, Lake Havasu City AZ 86403. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Melde, Michael J can be contacted via phone (928) 854-5551.

Contact Information

Primary practice address
2156 Mcculloch Blvd #6 Lake Havasu City AZ 86403
Phone: (928) 854-5551
Fax: (928) 854-5628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 3345 Arizona

Profile Details

NPI number 1417099698
LBN Legal business name Melde, Michael J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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 1417099698 NPPES
Arizona Other 091885 AHCCCS

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