MICHAEL D. MELLUM DMD PC NPI 1407062128

NPI Information

MICHAEL D. MELLUM, DMD PC is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MICHAEL D. MELLUM, DMD PC NPI is 1407062128. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8910 N KELLOGG ST
PORTLAND, OR
ZIP 97203-002
Phone: (503) 286-4492

The provider's authorized official is Michael Deane Mellum .
The authorized official title is President and has the following contact phone number (503) 286-4492.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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