Active NPIIndividual provider

Melba Dietrich, DDS

Dentist in Lynn, Massachusetts

NPI Number1902053259
Practice location
269 Union Street, Lynn, MA 01913-1314
Fax
781-596-3966
Last updated
August 19, 2008

Melba Dietrich is a Dentist based in Lynn, MA. Melba Dietrich practices in Lynn, MA and has the professional credentials of DDS. The NPI Number for Melba Dietrich is 1902053259 and holds a License No. 10167 (MA). The current practice location address for Melba Dietrich is 269 Union Street, Lynn, MA 01913-1314 and can be reached out via phone at 781-596-2502 and via fax at 781-596-3966.

Provider Profile Details

NPI Number
1902053259
Provider Name
Melba Dietrich
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
269 Union Street, Lynn, MA 01913-1314
Phone Number
781-596-2502
Fax Number
781-596-3966
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 19, 2008
Last Update Date
August 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
269 Union Street
Lynn, MA 01913-1314
City
Lynn
Zip
01913-1314
Phone Number
781-596-2502
Fax Number
781-596-3966
Lynn, MA 01913Get directions →

Provider Business Mailing Address Details

Address
269 Union Street
Lynn Community Health Center
Lynn, MA 01913-1314
City
Lynn
State
MA
Zip
01913-1314
Phone Number
781-596-2502
Fax Number
781-596-3966

License Information

License Number
10167
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melba Dietrich, DDS?

The NPI number of Melba Dietrich, DDS is 1902053259. It was assigned on August 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Melba Dietrich, DDS?

Melba Dietrich, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 10167.

Where does Melba Dietrich, DDS practice?

The practice location is 269 Union Street, Lynn, MA 01913-1314. The office can be reached at 781-596-2502 (phone) or 781-596-3966 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902053259 directly on the NPPES registry website.

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