Individual provider · Type 1 NPI
Melanie R. Peterson, DMD
Oral and Maxillofacial Surgery (Dentist) · Indianapolis, IN
Practice location
1001 W. 10th Street, #3101
Indianapolis, IN 46202-2859
Fax (317) 274-2603
Mailing address
1121 W. Michigan Street, Ds 307B
Indianapolis, IN 46202-5186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 5104 (KY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12011735A (IN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Indianapolis
- Charles G. Abraham, DDSOral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1003336249
- Jeffrey David Bennett, DMDOral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1053416602
- Flavio De Alcantara Camejo, DDSOral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1053962654
- Samuel Albert Tancredi, DDSOral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1073783478
- Steven Cromwell Graham, DDSOral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1124245451
- Brent Thomas Garrison, D.D.S, M.S.D.Oral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1134126485
- Timothy William Surber, DDSOral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1144668989
- Nigel Shaun MatthewsOral and Maxillofacial Surgery (Dentist) Indianapolis, IN NPI 1164825410
About NPI 1376647818
Melanie R. Peterson, DMD's National Provider Identifier is 1376647818, issued on Sep 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 19, 2012.