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NPI Code Detail

MEDICARE: DR. MELANIE DENISE DUNSON DDS

MEDICARE: DR. MELANIE DENISE DUNSON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN011949GA

General Provider Information

NPI Number : 1174612782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIE DENISE DUNSON DDS
Provider Business Mailing Address
First Line : 424 DECATUR ST SE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1848
Country : US
Telephone Number : 678-843-8600
Fax Number : 678-843-8601
Provider Business Practice Location Address
First Line : 424 DECATUR ST SE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1848
Country : US
Telephone Number : 678-843-8600
Fax Number : 678-843-8601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 10/27/2016

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Directions to “ DR. MELANIE DENISE DUNSON DDS” Practice Location

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