Mellis, Robert Paul

Mellis, Robert Paul is an individual health care provider with primary practice located at 5125 Oleander Dr , Wilmington NC 28403-7065. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mellis, Robert Paul can be contacted via phone (910) 392-2920.

Contact Information

Primary practice address
5125 Oleander Dr Wilmington NC 28403-7065
Fax: (910) 392-2221
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7011 North Carolina

Profile Details

NPI number 1689753626
LBN Legal business name Mellis, Robert Paul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689753626 NPPES
North Carolina MEDICAID 899012H
North Carolina Other 001524490

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