Provider Demographics
NPI:1366623258
Name:BARGER, MELINDA J (DMD)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:J
Last Name:BARGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:J
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:502 HEALTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-6900
Mailing Address - Country:US
Mailing Address - Phone:334-702-1101
Mailing Address - Fax:334-677-6176
Practice Address - Street 1:502 HEALTHWEST DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-6900
Practice Address - Country:US
Practice Address - Phone:334-702-1101
Practice Address - Fax:334-677-6176
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL47071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice