Provider Demographics
NPI:1437238870
Name:BARRON, MELODY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:A
Last Name:BARRON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:BARRON
Other - Last Name:MCBRIDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8095 CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5976
Mailing Address - Country:US
Mailing Address - Phone:901-380-0734
Mailing Address - Fax:902-236-7329
Practice Address - Street 1:8095 CLUB PKWY
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-5976
Practice Address - Country:US
Practice Address - Phone:901-380-0734
Practice Address - Fax:902-236-7329
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS6838122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist