Provider Demographics
NPI:1821650342
Name:MALONEY, MELINDA ANDERSON (DMD)
Entity Type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:ANDERSON
Last Name:MALONEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:JEAN
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8974 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-1114
Mailing Address - Country:US
Mailing Address - Phone:513-683-5405
Mailing Address - Fax:
Practice Address - Street 1:8974 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-1114
Practice Address - Country:US
Practice Address - Phone:513-683-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-04
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0258491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice