Melissa Lucinda Brown, DDS
Individual provider Active NPI Pediatric Dentistry · Morrow, GA
NPI 1376818237 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1376818237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- DN014318 (GA)
- Practice address
- 1833 Mount Zion Rd
Morrow, GA 30260-3015 - Phone
- (770) 692-1000
- NPI assigned
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| DN014318 | GA | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN014318 | GA | Yes |
Addresses
Primary practice location
1833 Mount Zion Rd
Morrow, GA 30260-3015
Mailing address
437 Carter Ave SE
Atlanta, GA 30317-3246
Phone (404) 510-3488
Other providers in Morrow, GA
- Rana Botlani Esfahani
- Darrell Lawrence Brautigam
- Carl Braxton
- George W Brown IV
- Jelani Brown
- Vuntressa M Brown
- Ebony Yohari Browne
- Diem My Thi Bui
- Business & Technology Outreach Corporation
- Nestle Butler
All providers in Morrow, GA · Pediatric Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. 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.