Individual
DR. ROBERT PAUL MELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5125 OLEANDER DR, WILMINGTON, NC 28403-7065
(910) 392-2920
(910) 392-2221
Mailing address
5125 OLEANDER, WILMINGTON, NC 28403
(910) 392-2920
(910) 392-2221
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001524490
UNITED CONCORDIA
—
05
—
899012H
—
NC
Enumeration date
11/02/2006
Last updated
04/22/2016
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