Jack Heyward Melton DMD

NPI 1063505162 - Dentist - 1223G0001X

NPI Details
NPI 1063505162
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
300 MAIN ST
STE 101
ST SIMONS ISLAND GA, 31522-1666, US
Phone (912) 638-9001
Fax (912) 634-9819
Business Location
300 MAIN ST
STE 101
ST SIMONS ISLAND GA, 31522-1666, US
Phone (912) 638-9001
Fax (912) 634-9819
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DN008285
Remove 1063505162 NPI Number
 

According to our database, Dr. Jack Heyward Melton DMD NPI is 1063505162, taxonomy code is 1223G0001X and license number is DN008285, license state is located at Georgia. Jack Heyward Melton DMD physically located at 300 Main St, St Simons Island GA, 31522-1666. NPI Number Jack Heyward Melton DMD has the Individual type.

Sponsored links

1063505162 NPI number is provided on an as is basis without warranty of any kind. 1063505162 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Heyward Melton DMD are for informational purposes only.