Individual provider · Type 1 NPI

Lan Melanie La, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · St. Petersburg, FL

NPI number 1316490246 Active

Practice location

400 Carillon Pkwy Ste 120
St. Petersburg, FL 33716-1290

Call (727) 299-0728 Map

Mailing address

4080 40th St N
St. Petersburg, FL 33714-4419

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN21957 (FL)
Dentist	122300000X	2019016473 (MO)
Dentist	122300000X	DN21957 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	021002977 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	2019016473 (MO)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1316490246

Lan Melanie La, DMD's National Provider Identifier is 1316490246, issued on Jul 27, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 25, 2024.