Healthcare Provider Details

I. General information

NPI: 1962630202
Provider Name (Legal Business Name): MELISSA MIHELIDAKIS BUDDENSEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MELISSA DEMETRA MIHELIDAKIS

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 KING SQ
WHITEFIELD NH
03598-3346
US

IV. Provider business mailing address

14 KING SQ
WHITEFIELD NH
03598-3346
US

V. Phone/Fax

Practice location:
  • Phone: 603-837-2333
  • Fax:
Mailing address:
  • Phone: 603-837-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRT 1913
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number15562
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: