Provider Demographics
NPI:1831402767
Name:NEVID, MELISSA LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LYNN
Last Name:NEVID
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 BOX HILL CORPORATE CENTER DR STE 500
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1334
Mailing Address - Country:US
Mailing Address - Phone:410-886-8669
Mailing Address - Fax:410-883-1740
Practice Address - Street 1:3465 BOX HILL CORPORATE CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1334
Practice Address - Country:US
Practice Address - Phone:410-886-8669
Practice Address - Fax:410-883-1740
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15474122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist