# EMILY MELLION DDS PEDIATRIC DENTISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Keystone Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972345734
- **Authorized official:** EMILY M MELLION DDS (OWNER)
- **Authorized official phone:** (304) 483-5792

## Contact information

- **Practice address:** 3591 RESERVE COMMONS DR STE 200, MEDINA, OH 44256-5334
- **Practice address phone:** (330) 723-7566
- **Mailing address:** 3591 RESERVE COMMONS DR STE 200, MEDINA, OH 44256-5334
- **Mailing address phone:** (330) 723-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2024
- **Last updated:** 06/11/2024