| Melissa Mullane Padgett, Dds, Llc | |
|
1006 Boardman Canfield Rd Suite 1a Boardman OH 44512-4278 | |
| (330) 726-6700 | |
| (330) 965-9594 |
| Full Name | Melissa Mullane Padgett, Dds, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1006 Boardman Canfield Rd, Boardman, Ohio |
| Authorized Official Name and Position | Melissa Marie Padgett (DENTIST) |
| Authorized Official Contact | 3307266700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Mullane Padgett, Dds, Llc 1006 Boardman Canfield Rd Suite 1a Boardman OH 44512-4278 Ph: (330) 726-6700 | Melissa Mullane Padgett, Dds, Llc 1006 Boardman Canfield Rd Suite 1a Boardman OH 44512-4278 Ph: (330) 726-6700 |
| NPI Number | 1083941314 |
|---|---|
| Provider Enumeration Date | 11/06/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083941314 | NPI | - | NPPES |
| 2682539 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30021871 (Ohio) | Primary |
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