Healthcare Provider Details

I. General information

NPI: 1760175335
Provider Name (Legal Business Name): MELANIE G TURPIN DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N VIENNA ST
RUSTON LA
71270-3843
US

IV. Provider business mailing address

610 N VIENNA ST
RUSTON LA
71270-3843
US

V. Phone/Fax

Practice location:
  • Phone: 318-255-6574
  • Fax:
Mailing address:
  • Phone: 318-255-6574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JENNY GARCIA-ROCHA
Title or Position: CREDENTIALING LEAD
Credential:
Phone: 972-869-3789