Individual provider · Type 1 NPI

Melissa Ann Brenneman Waters, DDS

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1730408485 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Mailing address

3912 Orchard St
Lincoln, NE 68503-2144

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730408485

Melissa Ann Brenneman Waters, DDS's National Provider Identifier is 1730408485, issued on May 20, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on May 20, 2010.