DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEITH MELLOVITZ, DDS

Active

DR. KEITH MELLOVITZ, DDS is a Dentist healthcare provider located in HIGHLAND PARK, Illinois. NPI 1205902194 is currently active in the NPPES registry. Verify at CMS.

Dentist · HIGHLAND PARK, IL

Registration Details

NPI Number
1205902194
Provider Type
Individual
Gender
Male
NPI Issued
Nov 24, 2006 (19.735765019017 yrs)
Last Updated
Mar 26, 2018
Licenses
019.017241 (IL)
A17241 (IL)

Practice Information

Address
1893 SHERIDAN RD
SUITE 318
HIGHLAND PARK, IL, 60035
Browse IL providers · Browse ZIP 60035
Phone
8474339350
Fax
8474339355
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in HIGHLAND PARK, IL

Name Credential NPI
DR. DAVID HAROLD SCHNITZER DDS 1285615609
DR. TED JOHN PIOTROWSKI DDS 1831101146
DR. STEPHEN FORREST SALINGER DDS 1821199829
DR. ESTES BOSHES DDS 1073683561
FRANCIS ALAN BUGAJ DDS 1194896001
DR. JOEL L. SANDERS DDS 1417172669
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.