Provider Demographics
NPI:1881123750
Name:NORTON, MELANIE ANNE (DDS)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:ANNE
Last Name:NORTON
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 1:205 N B ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-2944
Mailing Address - Country:US
Mailing Address - Phone:641-451-0190
Mailing Address - Fax:
Practice Address - Street 1:205 N B ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-2944
Practice Address - Country:US
Practice Address - Phone:641-451-0190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA09423122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist