Individual
JESSICA ANN MELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
600 TEXAS ST, CLOVIS, NM 88101-9410
(575) 762-1900
Mailing address
600 TEXAS ST STE C, CLOVIS, NM 88101-9410
(575) 762-1900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11109
SC
1223G0001X
General Practice Dentistry
Primary
DB-2025-0244
NM
Other
Enumeration date
08/13/2025
Last updated
09/30/2025
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