MELBA DIETRICH (NPI# 1902053259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902053259 |
| Entity Type | Individual |
| Full Name | MELBA DIETRICH |
| Credential | DDS |
| Practice Address |
269 Union Street Lynn MA 01913-1314 |
| Mailing Address |
269 Union Street Lynn Community Health Center Lynn MA 01913-1314 |
| Practice Telephone | 7815962502 |
| Practice Fax Number | 7815963966 |
| Mailing Telephone | 7815962502 |
| Mailing Fax Number | 7815963966 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10167 | MA | Dental Providers |
| Street Address |
269 UNION STREET |
| City | LYNN |
| State | MA |
| Zip Code | 01913-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997691 | Lynn Community Health, Inc. | Clinic/Center | 269 Union Street, Lynn, MA 01901-1314 | 2006-01-19 |
| 1275017618 | Kathryn Thibedeau | Student in an Organized Health Care Education/Training Program | 269 Union Street, Lynn Community Health Center, Lynn, MA 01901 | 2018-09-21 |
| 1689987885 | Amer G El-haddad | Family Medicine | 269 Union Street, Lynn, MA 01901-1900 | 2010-07-16 |
| 1174757439 | Miguel A Gonzalez | Registered Nurse | 269 Union Street, Lynn, MA 01901-1314 | 2009-05-14 |
| 1508038779 | Angela Forsberg Wilbur | Psychologist | 269 Union Street, Behavioral Health Dept, Lynn, MA 01901 | 2008-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477039287 | Antonio Arthur Herrera | Occupational Therapist | 14 N Martin Rd, Amesbury, MA 01913 | 2018-07-15 |
| 1427505031 | Amesbury Orthodontics LLC | Clinic/Center | 194r Main St., Unit 1, Amesbury, MA 01913 | 2016-09-01 |
| 1285071407 | Francis Smith | Counselor | 24 Morell Pl, Amesbury, MA 01913 | 2013-05-29 |
| 1952747693 | Rose Marie Baker | Social Worker | 24 Merrill Place, Amesbury Psychological Center, Amesbury, MA 01913 | 2013-05-21 |
| 1629354170 | Kenneth Anthony Pinette | Nurse Practitioner | 110 Haverhill Rd., Suite 395, Amesbury, MA 01913 | 2011-10-28 |
| 1811225683 | Cara Riley Doran | Counselor | 14 Cedar Street, Suite 215, Amesbury, MA 01913 | 2009-12-06 |
| 1316100779 | Jenne R. Wax | Family Medicine | 2 Goddard Ave, Amesbury, MA 01913 | 2008-07-07 |
| 1386823193 | Brooke Lear | Occupational Therapist | 314 Cedar Street, Suite 114, Amesbury, MA 01913 | 2007-10-29 |
| 1932311818 | Joan H Denning | Social Worker | Amesbury Dialysis Center 24 Morrill Place, Amesbury, MA 01913 | 2007-05-04 |
| 1043336324 | Michelle M Nickerson | Social Worker | 12 Market Square, Suite 2, Amesbury, MA 01913 | 2007-03-21 |
| Find all providers in zip 01913 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346874450 | Karina B.m. Nims | Dentist | 309 Maple St Unit 2, Lynn, MA 01904-3010 | 2020-02-27 |
| 1417481714 | Dental Dreams LLC | Dentist | 41 State St, Lynn, MA 01901-1504 | 2017-04-13 |
| 1710430087 | Ana Keohane | Dentist | 319 Lynnway Ste 1, Lynn, MA 01901-1810 | 2016-08-03 |
| 1366890675 | Douglas Carl Chespak | Dentist | 41b State St, Lynn, MA 01901-1504 | 2016-05-26 |
| 1609116235 | Nora Dube D.m.d | Dentist | 895 Western Ave, Lynn, MA 01905-2359 | 2013-02-19 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| 1770755514 | Atlantic Dental | Dentist | 153 Lewis St, Lynn, MA 01902-4835 | 2008-04-01 |
| 1013102136 | Carl Albert Costanza Jr. | Dentist | 290 Ocean St, Lynn, MA 01902-3262 | 2007-09-11 |
| 1780896613 | Sonia Contanza Divney | Dentist | 232 Union St., Lynn, MA 01901 | 2007-05-04 |
| 1790900892 | Ilya Vasserman | Dentist | 153 Lewis Str, Lynn, MA 01902 | 2007-04-16 |
| Find all providers in LYNN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.