Melissa Bourdeau, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

004700 Issued in CT

Practice address

63 Beaver Brook Rd
Danbury Public School Dental Program
Danbury, CT 06810-6211

Phone

(203) 792-2812

Fax

(203) 792-2612

NPI assigned

Nov 6, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1992985030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BEAVER BROOK RD",
            "address_2": "DANBURY PUBLIC SCHOOL DENTAL PROGRAM",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106211",
            "telephone_number": "203-792-2812",
            "fax_number": "203-792-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BEAVER BROOK RD",
            "address_2": "DANBURY PUBLIC SCHOOL DENTAL PROGRAM",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106211",
            "telephone_number": "203-792-2812",
            "fax_number": "203-792-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDEAU",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "004700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia S Botelho
• Kristin Ann Bott, ACNP-BC, APRN
• Thomas Botta, M.D.
• Bradford A Bottger, M.D.
• Adam Ryan-Lewis Boucher, CRNA
• Diane Kay Bowler, APRN
• Jillian Bowler, DPT
• Monique Bowman, ND
• Jennifer Boyce, DMD
• Jennah Teresa Boyd

• Dental Hygienist in Danbury, CT
• Providers in Danbury, CT by specialty
• Dental Hygienist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.