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Dr. Melanie R Peterson, DMD
Oral and Maxillofacial Surgery (Dentist) in Indianapolis, Indiana
NPI 1376647818

Melanie R Peterson is a Oral and Maxillofacial Surgery (Dentist) based in Indianapolis, IN and is specialized in Oral and Maxillofacial Surgery. Melanie R Peterson practices in Indianapolis, IN and has the professional credentials of DMD. The NPI Number for Melanie R Peterson is 1376647818 and holds a License No. 5104 (Indiana).

The current practice location address for Melanie R Peterson is 1001 W. 10Th Street, Indianapolis, IN and can be reached out via phone at 317-278-3632 and via fax at 317-274-2603.

Location: 1001 W. 10Th Street, Indianapolis, IN, 46202-5186
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Provider Profile Details
NPI Number
1376647818
Provider Name
Melanie R Peterson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1001 W. 10Th Street, Indianapolis, IN, 46202-5186
Phone Number
317-278-3632
Fax Number
317-274-2603
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100001450A 05 IN
60051042 05 KY
0007279 01 KY DORAL
institution
Provider Business Practice Location Address Details
Address
1001 W. 10Th Street
City
State
Zip
46202-2859
Phone Number
317-278-3632
Fax Number
317-274-2603
person
Provider Business Mailing Address Details
Address
1001 W. 10Th Street
City
State
Zip
46202-2859
Phone Number
317-278-3632
Fax Number
317-274-2603
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
12011735A (Indiana)
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
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
5104 (Kentucky)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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