MEDICARE: DR. MELISSA SHEA DRAUGHN WILLIAMS 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
1	122300000X	Dentist	DDS-10011	IA

General Provider Information

NPI Number	:	1790415107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA SHEA DRAUGHN WILLIAMS DDS

Provider Business Mailing Address
First Line	:	2329 SNYDER AVE
Second Line	:
City	:	ROSE HILL
State	:	IA
Zip	:	52586-9798
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 W GRANT ST
Second Line	:
City	:	BLOOMFIELD
State	:	IA
Zip	:	52537-2105
Country	:	US
Telephone Number	:	641-664-1191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2022
Last Update Date	:	04/13/2026

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