Provider Demographics
NPI:1730819608
Name:DOLLINS, MELINDA SWICORD (DMD)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:SWICORD
Last Name:DOLLINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4004 N CAHABA DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5000
Mailing Address - Country:US
Mailing Address - Phone:205-919-3797
Mailing Address - Fax:
Practice Address - Street 1:202 INVERNESS CENTER DR STE 301
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242-7636
Practice Address - Country:US
Practice Address - Phone:205-991-8939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD-0007030-C1122300000X, 1223G0001X
LA7496122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice