Provider Demographics
NPI:1841321049
Name:BABOT, MELANIE (DDS)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:
Last Name:BABOT
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 1:7225 W HIGHWAY 71
Mailing Address - Street 2:SUITE C
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8350
Mailing Address - Country:US
Mailing Address - Phone:512-288-0522
Mailing Address - Fax:512-288-6506
Practice Address - Street 1:7225 W HIGHWAY 71
Practice Address - Street 2:SUITE C
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8350
Practice Address - Country:US
Practice Address - Phone:512-288-0522
Practice Address - Fax:512-288-6506
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX164411223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry