Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY THOMAS MELLON, DDS
Active Sole ProprietorDR. GREGORY THOMAS MELLON, DDS is a Dentist healthcare provider located in MCKINLEYVILLE, California. NPI 1700809589 is currently active in the NPPES registry. Verify at CMS.
Dentist · MCKINLEYVILLE, CA
Registration Details
- NPI Number
- 1700809589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (19.878740856114 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25948 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1737 CENTRAL AVEMCKINLEYVILLE, CA, 955193601Browse CA providers · Browse ZIP 95519
- Phone
- 7078393262
- Fax
- 7078393275
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MCKINLEYVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY ROETTGER | — | 1861876062 |
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.