Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Melissa Lynn Davis, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033649850

Dr. Melissa Lynn Davis, DDS is a Student in an Organized Health Care Education/Training Program in Kenosha, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2017.

Licensed in
IL, WI
In the registry since
2017
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6226 14th Ave
Kenosha, WI 53143-4413
Phone: (262) 656-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1002038 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1033649850
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address320 E. Armstrong Ave, Peoria, IL 61603

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