Provider Demographics
NPI:1578746426
Name:VOIGT, MELINDA (RDHAP)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:VOIGT
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 NIBLICK ROAD #305
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-2226
Mailing Address - Country:US
Mailing Address - Phone:805-720-4665
Mailing Address - Fax:
Practice Address - Street 1:179 NIBLICK ROAD #305
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-2226
Practice Address - Country:US
Practice Address - Phone:805-720-4665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDHAP31124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist