Healthcare Provider Details

I. General information

NPI: 1346734548
Provider Name (Legal Business Name): MELISSA JEAN MIGLIOZZI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA JEAN JUST

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 ROBERT SMALLS PKWY STE 103
BEAUFORT SC
29906-4266
US

IV. Provider business mailing address

102 PATRICK DR
BEAUFORT SC
29902-5712
US

V. Phone/Fax

Practice location:
  • Phone: 843-781-8900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9440
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: