MELANIE LA SHANG (NPI# 1316490246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316490246 |
| Entity Type | Individual |
| Full Name | MELANIE LA SHANG |
| Credential | D.M.D. |
| Practice Address |
1395 Center Dr # D1-30 Gainesville FL 32610-3006 |
| Mailing Address |
1031 Highlands Plaza Dr W Apt 402 Saint Louis MO 63110-1346 |
| Practice Telephone | 3522735651 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2019016473 | MO | Dental Providers |
| N | 122300000X | Dentist | DN21957 | FL | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2019016473 | MO | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021002977 | IL | Dental Providers |
| Street Address |
1395 CENTER DR # D1-30 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150377 | Chantol Peterkin | Dentist | 1395 Center Dr # D1-30, Gainesville, FL 32610-3006 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897776 | Cedar Dental Clinical I, LLC | Dentist | 3630 Thompson Bridge Rd Ste 18b, Gainesville, GA 30506-1524 | 2020-09-24 |
| 1952933541 | Katherine Kapernaros | Dentist | 1395 Center Dr Rm D7-35, Gainesville, FL 32610-3006 | 2020-02-11 |
| 1427610310 | Spencer Michael Mathews | Dentist | 1395 Center Dr Rm D7-19, Gainesville, FL 32610-3006 | 2019-07-01 |
| 1679015051 | Emmanuel Alfonso | Dentist | 3611 Sw 34th St Apt 230, Gainesville, FL 32608-6574 | 2016-11-16 |
| 1912303561 | Ron D. Wilson Dmd PC | Dentist | 1220 Sherwood Park Drive, Gainesville, GA 30501-3445 | 2014-11-10 |
| 1073749966 | Gainesville Orthodontic Associates | Dentist | 7504 Iron Bar Ln, Gainesville, VA 20155-2999 | 2009-06-05 |
| 1942475843 | Noelle Williams | Dentist | 3230 Sw Archer Rd, H242a, Gainesville, FL 32608-1700 | 2008-04-23 |
| 1164616272 | Madueke Ethelberth Ekoh | Dentist | 14634 Lee Highway, Gainesville, VA 20155 | 2007-08-31 |
| 1063623635 | Joseph March Waldron | Dentist | 611 Nw 60th St, Suite A, Gainesville, FL 32607-6029 | 2007-05-25 |
| 1942428446 | Reid Wallace Montini | Dentist | 7520 W University Ave Ste C, Gainesville, FL 32607-7612 | 2007-04-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on MELANIE LA SHANG.
| 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.