DR. Melissa Lynn Davis, D.D.S.

NPI #1033649850 in Kenosha, Wisconsin

Provider Information

NPI Number: 1033649850
Entity Type: Individual
Name: DR. Melissa Lynn Davis, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 14, 2017
Last Updated: Feb 11, 2020

Practice Location

Address: 6226 14TH AVE
City: Kenosha
State: Wisconsin
ZIP Code: 53143-4413
Phone: (262) 656-0044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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