Herston, Melody Lynn
Herston, Melody Lynn is an sole proprietor health care provider with primary practice located at 4161 Tamiami Trl Suite 803, Port Charlotte FL 33952-9204. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Herston, Melody Lynn can be contacted via phone (941) 255-3700.Contact Information
Primary practice address
4161 Tamiami Trl Suite 803
Port Charlotte FL 33952-9204
Phone: (941) 255-3700
Fax: (941) 764-0812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 16359 | Florida |
Profile Details
| NPI number | 1720296650 |
|---|---|
| LBN Legal business name | Herston, Melody Lynn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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