Charles Melton, DDS

NPI #1790896173 in Moriches, New York

Provider Information

NPI Number: 1790896173
Entity Type: Individual
Name: Charles Melton, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 256 MONTAUK HIGHWAY
Address 2: STARLIGHT DENTAL CARE
City: Moriches
State: New York
ZIP Code: 11955
Phone: (631) 874-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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