Provider Type Icon

PLANTATION DENTAL ASSOCIATES NPI 1063505113


NPI Information

NPI: 1063505113
Provider Name: PLANTATION DENTAL ASSOCIATES

Doing Business As: DR JACK H MELTON

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
300 MAIN ST
STE 101
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 638-9001
Get Directions

PLANTATION DENTAL ASSOCIATES is a general practice dentist in St Simons Island, GA. 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. PLANTATION DENTAL ASSOCIATES NPI is 1063505113. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr Jack H Melton.

The provider's business location address is:

300 MAIN ST
STE 101
ST SIMONS ISLAND, GA
ZIP 31522-666
Phone: (912) 638-9001
Fax: (912) 634-9819

The provider's authorized official is Jack Heyward Melton .
The authorized official title is Owner/dentist and has the following contact phone number (912) 638-9001.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 6/17/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN008285GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.