Melissa S Amundson DDS PA

NPI #1326622887 in Perry, Florida

Provider Information

NPI Number: 1326622887
Entity Type: Organization
Organization Name: Melissa S Amundson DDS PA
Subpart: Yes (part of a larger organization)
Parent Organization: MELISSA S AMUNDSON DDS PA
Primary Specialty: Dentist
Enumeration Date: May 11, 2021
Last Updated: May 11, 2021

Practice Location

Address: 1204 N CENTER ST
City: Perry
State: Florida
ZIP Code: 32347-2038
Phone: (850) 584-4613

Authorized Official

Name: MELISSA AMUNDSON, DDS
Title: OWNER/SURGEON
Phone: (850) 584-4613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist	122300000X	Primary

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