Organization
PLANTATION DENTAL ASSOCIATES
Active
Other names
Dr Jack H Melton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK HEYWARD MELTON DMD (OWNER/DENTIST)
(912) 638-9001
Entity
Organization
Contact information
Practice address
300 MAIN ST, STE 101, ST SIMONS ISLAND, GA 31522-1666
(912) 638-9001
(912) 634-9819
Mailing address
300 MAIN ST, STE 101, ST SIMONS ISLAND, GA 31522-1666
(912) 638-9001
(912) 634-9819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008285
GA
Other
Enumeration date
10/02/2006
Last updated
06/17/2008
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