DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELODY MILLER RICHARDSON, DDS

Deactivated

MELODY MILLER RICHARDSON, DDS is a Dentist healthcare provider located in PERU, Indiana. NPI 1164500377 is deactivated in the NPPES registry. Verify at CMS.

Dentist · PERU, IN

This NPI has been deactivated. The record was deactivated on October 22, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1164500377
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2006 (14.969863013699 yrs)
Last Updated
Oct 22, 2021
Deactivated
Oct 22, 2021
License
12009144A (IN)

Practice Information

Address
63 WEST 6TH ST
PERU, IN, 469702134
Browse IN providers · Browse ZIP 46970
Phone
7654734109
Primary Specialty
Dentist
122300000X

Other Dentist Providers in PERU, IN

Name Credential NPI
DR. DAVID PHILLIP ZANDI DDS 1437173770
DR. SKYE BOWER DDS 1245721109
PATRICIA FLORES DDS 1073384509
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.