Provider Demographics
NPI:1457657785
Name:DENTON, MELANIE (OD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:DENTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 CARY DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3010
Mailing Address - Country:US
Mailing Address - Phone:205-243-2231
Mailing Address - Fax:
Practice Address - Street 1:5009 RIVERCHASE DR STE 400B
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-7520
Practice Address - Country:US
Practice Address - Phone:334-291-5125
Practice Address - Fax:334-291-5125
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-C49-TA-869152W00000X
SC1842152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist