Melody Chou, DMD
Individual provider Active NPI General Practice Dentistry · Winslow, AZ
NPI 1689137457 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1689137457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 062119 (NY)
- Practice address
- 500 Indiana Ave
Winslow, AZ 86047-2169 - Phone
- (928) 289-4646
- NPI assigned
- Apr 9, 2019
- 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 |
|---|---|---|---|
| 062119 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 062119 | NY | Yes |
Addresses
Primary practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Mailing address
500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646
Other providers in Winslow, AZ
- Charlotte Bynar
- Jenae Cantrell
- Carmen C Clelland & Laura a Clelland
- Changepoint Integrated Health
- Jennie Chester
- Sharon Christian
- Carmen Cirilo Clelland
- Laura Clelland
- Charlene Yvonne Clements
- Bridgette Cody
All providers in Winslow, AZ · General Practice Dentistry in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. 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.