Healthcare Provider Details

I. General information

NPI: 1861130510
Provider Name (Legal Business Name): MELISSA TORRES DDS PLLC DBA: MIEL DENTAL AESTHETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ANDOVER ST STE 8
PEABODY MA
01960-1505
US

IV. Provider business mailing address

300 ANDOVER ST STE 8
PEABODY MA
01960-1505
US

V. Phone/Fax

Practice location:
  • Phone: 781-595-1713
  • Fax:
Mailing address:
  • Phone: 978-595-1713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA TORRES
Title or Position: CEO/OWNER
Credential: DDS
Phone: 978-595-1713