Melinda Renee Davis, DMD
Individual provider Active NPI General Practice Dentistry · Moon Township, PA
NPI 1740299486 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740299486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS036947 (PA)
- Practice address
- 850 Beaver Grade Road
Moon Township, PA 15108-2638 - Phone
- (412) 262-2370
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160307000391 | PA | Order and Referring Only - Dentist |
8426354101 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Skoff DMD PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS036947 | PA | Yes |
Addresses
Primary practice location
850 Beaver Grade Road
Moon Township, PA 15108-2638
Mailing address
4646 Friendship Avenue
Apartment 5
Pittsburgh, PA 15224
Phone (412) 683-5255
Other providers in Moon Township, PA
- Theresa Marie Crocenelli
- James A D'Antonio
- Linda D'Eramo
- Bruce William Dadey
- Deborah D David
- Sharon A Davis
- Nancy C Debranski
- Starlene Marie Delp
- Kenneth Carmen Denardo
- Dental Professionals of Pennsylvania, P.C.
All providers in Moon Township, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.