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Dr. Melissa M Lackey, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Melrose, Massachusetts
NPI 1386635514

Melissa M Lackey is a Oral and Maxillofacial Surgery (Dentist) based in Melrose, MA and is specialized in Oral and Maxillofacial Surgery. Melissa M Lackey practices in Melrose, MA and has the professional credentials of DMD,MD. The NPI Number for Melissa M Lackey is 1386635514 and holds a License No. 19457 (Massachusetts).

The current practice location address for Melissa M Lackey is 810 Main St, Melrose, MA and can be reached out via phone at 781-662-6228 and via fax at 781-622-4455.

Location: 810 Main St, Melrose, MA, 02176-2711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386635514
Provider Name
Melissa M Lackey
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Female
Address
810 Main St, Melrose, MA, 02176-2711
Phone Number
781-662-6228
Fax Number
781-622-4455
Provider Enumeration Date
11/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16806 01 MA PILGRIM
791536 01 MA TUFTS
X08852 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
810 Main St
City
Melrose
State
Massachusetts
Zip
02176-2711
Phone Number
781-662-6228
Fax Number
781-622-4455
person
Provider Business Mailing Address Details
Address
810 Main St
City
Melrose
State
Massachusetts
Zip
02176-2711
Phone Number
781-662-6228
Fax Number
781-622-4455
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
19457 (Massachusetts)
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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