Provider Demographics
NPI:1952696916
Name:HOLDEN, MELANIE YEAGER (DMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:YEAGER
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:AMANDA
Other - Last Name:YEAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:4044 SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1272
Mailing Address - Country:US
Mailing Address - Phone:941-929-9580
Mailing Address - Fax:
Practice Address - Street 1:4044 SAWYER RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1272
Practice Address - Country:US
Practice Address - Phone:941-929-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 193701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice