Gregory Thomas Mellon in Mckinleyville - Dentist
Gregory Thomas Mellon - NPI 1700809589
Gregory Thomas Mellon is a Dentist in Mckinleyville, California. Gregory Thomas Mellon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gregory Thomas Mellon is 1700809589. The last update date is 2007-07-08.
Gregory Thomas Mellon's current location address is 1737 Central Ave, Mckinleyville, California. You can contact this provider via phone number 7078393262 and fax number 7078393275. The mailing address for Gregory Thomas Mellon is 1737 Central Ave, Mckinleyville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Thomas Mellon |
|---|---|
| Address | 1737 Central Ave, Mckinleyville, California |
| Phone Number | 7078393262 |
| Fax Number | 7078393275 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1700809589 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1737 Central Ave |
|---|---|
| City | Mckinleyville |
| State | California (CA) |
| Post Code | 955193601 |
| Phone Number | 7078393262 |
| Fax Number | 7078393275 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25948 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Gregory Thomas Mellon by the Centers for Medicare & Medicaid Services?
The Gregory Thomas Mellon has been assigned the NPI (National Provider Identifier) 1700809589. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gregory Thomas Mellon?
The Gregory Thomas Mellon is physically situated at 1737 Central Ave, in the city of Mckinleyville, state of CA, with the postal code 955193601.
What is the Gregory Thomas Mellon's area of specialization and corresponding taxonomy classification?
The Gregory Thomas Mellon's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1700809589 to Gregory Thomas Mellon?
The Centers for Medicare & Medicaid Services assigned the 1700809589 to Gregory Thomas Mellon on 2006-07-25.
When was the information regarding Gregory Thomas Mellon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gregory Thomas Mellon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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