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DR. MELANIE R PETERSON DMD
NPI 1376647818
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since September 12, 2006
1001 W. 10TH STREET, #3101, INDIANAPOLIS, IN 46202(317) 278-3632(317) 274-2603 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Melanie R Peterson Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELANIE R PETERSON DMD (NPI 1376647818) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (12011735A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1376647818
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MELANIE R PETERSONCredential: DMD
Location Address1001 W. 10TH STREET, #3101Indianapolis, IN 46202-2859
Mailing Address1121 W. Michigan Street, Ds 307bIndianapolis, IN 46202-5186 · (317) 278-3632 · Fax (317) 274-2603
Phone(317) 278-3632
Fax(317) 274-2603
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJune 19, 2012
✔ NPI 1376647818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IN · 12011735A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 5104 (KY)
1001 W. 10TH STREET, Indianapolis, IN 46202
Open in Google Maps ↗

Other Identifiers 3

Other0007279KY · Doral
Medicaid60051042KY
Medicaid100001450AIN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESMON ANTONIO BROWN JR. DDS
Dentist (Oral and Maxillofacial Surgery)
1001 W. 10TH STREET, #3101
INDIANAPOLIS, IN 46202
Marion County (317) 630-6297
ELIZABETH ANN KLEEMAN RN
Registered Nurse (Emergency)
1001 W. 10TH STREET
INDIANAPOLIS, IN 46202
Marion County (317) 630-7276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Peterson's NPI number?

The NPI number for Melanie Peterson is 1376647818. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Melanie Peterson located?

Melanie Peterson practices at 1001 W. 10th Street #3101, Indianapolis, IN 46202. The listed phone number is (317) 278-3632.

What is Melanie Peterson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Melanie Peterson was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.