Provider Demographics
NPI:1639183726
Name:MEIER BUHR, MELANIE SUE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:SUE
Last Name:MEIER BUHR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:SUE
Other - Last Name:MEIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1225 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2402
Mailing Address - Country:US
Mailing Address - Phone:218-728-6445
Mailing Address - Fax:218-724-7003
Practice Address - Street 1:1225 E 1ST ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2402
Practice Address - Country:US
Practice Address - Phone:218-728-6445
Practice Address - Fax:218-724-7003
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN109521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN820216OtherUNITED CONCORDIA
MNHP34431OtherHEALTH PARTNERS
MN904481008712OtherPREFERRED ONE
MN310221008712OtherPREFERRED ONE
MN04A45MEOtherBCBS PROVIDER NUMBER