Provider Demographics
NPI:1952428120
Name:GOINS, MELISSA JEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JEAN
Last Name:GOINS
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 1:7100 E CAVE CREEK RD
Mailing Address - Street 2:#169
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331
Mailing Address - Country:US
Mailing Address - Phone:480-595-0715
Mailing Address - Fax:480-575-1136
Practice Address - Street 1:7100 E CAVE CREEK RD
Practice Address - Street 2:#169
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331
Practice Address - Country:US
Practice Address - Phone:480-595-0715
Practice Address - Fax:480-575-1136
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD6194122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist