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Dr. Melissa Lynn Davis, DDS
General Practice Dentistry in Kenosha, Wisconsin
NPI 1033649850

Melissa Lynn Davis is a General Practice Dentistry based in Peoria, WI and is specialized in General Practice. Melissa Lynn Davis practices in Kenosha, WI and has the professional credentials of DDS. The NPI Number for Melissa Lynn Davis is 1033649850 and holds a License No. (Wisconsin).

The current practice location address for Melissa Lynn Davis is 6226 14Th Ave, Kenosha, WI and can be reached out via phone at 262-656-0044.

Location: 6226 14Th Ave, Kenosha, WI, 61603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033649850
Provider Name
Melissa Lynn Davis
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
6226 14Th Ave, Kenosha, WI, 61603
Phone Number
262-656-0044
Fax Number
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1002038-15 01 WI LICENSE
123456789 01 DENTIST
institution
Provider Business Practice Location Address Details
Address
6226 14Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-4413
Phone Number
262-656-0044
Fax Number
person
Provider Business Mailing Address Details
Address
6226 14Th Ave
City
Kenosha
State
Wisconsin
Zip
53143-4413
Phone Number
262-656-0044
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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