| Dr Melissa M Lackey, DMD,MD | |
|
810 Main St, Melrose, MA 02176-2711 | |
| (781) 662-6228 | |
| (781) 622-4455 |
| Full Name | Dr Melissa M Lackey |
|---|---|
| Gender | Female |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 810 Main St, Melrose, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386635514 | NPI | - | NPPES |
| 16806 | Other | MA | PILGRIM |
| 791536 | Other | MA | TUFTS |
| X08852 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19457 (Massachusetts) | Primary |
| Entity Name | Melrose Wakefield Oral Surgery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568409902 PECOS PAC ID: 0244249209 Enrollment ID: O20060419000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa M Lackey, DMD,MD 810 Main St, Melrose, MA 02176-2711 Ph: (781) 662-6228 | Dr Melissa M Lackey, DMD,MD 810 Main St, Melrose, MA 02176-2711 Ph: (781) 662-6228 |
Dr. George Ara Surabian, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 E Emerson St, Melrose, MA 02176 Phone: 781-665-2113 | |
Jeffrey Pan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 985 Main St, Melrose, MA 02176 Phone: 781-665-5190 | |
Gabriela Chiaramida, Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 Lynn Fells Pkwy, Melrose, MA 02176 Phone: 781-979-0235 | |
Peter C Wright, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12 West Emerson Street, Melrose, MA 02176 Phone: 781-665-5222 Fax: 781-665-4832 | |
Dr. Nicholas Thomas Ciancarelli, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 10 East Emerson St., Melrose, MA 02176 Phone: 781-665-2113 | |
David Philip Solomon, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12 West Emerson Street, Melrose, MA 02176 Phone: 781-665-5222 Fax: 781-665-4832 | |
Dr. Frederick L Solomon, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 84 Myrtle St, Melrose, MA 02176 Phone: 781-662-9119 |