Melba Akinwande
Individual provider Active NPI Dentist · Westminster, MD
NPI 1134500952 · NPPES record last updated Jul 22, 2015
Key facts
- NPI
- 1134500952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 15811 (MD)
- Practice address
- 480 Meadow Creek Dr Ste B
Westminster, MD 21158-4445 - Phone
- (410) 848-4000
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15811 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Maryland, Badger, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15811 | MD | Yes |
Addresses
Primary practice location
480 Meadow Creek Dr Ste B
Westminster, MD 21158-4445
Mailing address
480 Meadow Creek Dr Ste B
Westminster, MD 21158-4445
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.