Provider Demographics
NPI:1437225794
Name:BROWN, MELISSA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11661 COLLEGE BLVD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-4107
Mailing Address - Country:US
Mailing Address - Phone:913-242-8199
Mailing Address - Fax:913-385-0892
Practice Address - Street 1:11661 COLLEGE BLVD
Practice Address - Street 2:SUITE #101
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-4107
Practice Address - Country:US
Practice Address - Phone:913-242-8199
Practice Address - Fax:913-385-0892
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60076122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist