Matthew John Melancon, DDS

NPI #1912149980 in Broussard, Louisiana

Provider Information

NPI Number: 1912149980
Entity Type: Individual
Name: Matthew John Melancon, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 6, 2009
Last Updated: Jun 18, 2015

Practice Location

Address: 300 W MADISON ST
City: Broussard
State: Louisiana
ZIP Code: 70518-4518
Phone: (337) 837-1861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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