Modern Dental Professionals Co PC
NPI 1053792440ActiveOrganization· Dentist, General Practice· Westminster, CO
Dentist, General Practice in Westminster, Colorado, registered in NPPES in June 2015, part of Modern Dental Professionals Co PC. The authorized official on file is Craig A. Mellor, DDS, Pc Owner.
Overview
| NPI | 1053792440 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Modern Dental Professionals Co PC |
| NPI issued | Jun 11, 2015 |
| Last updated in NPPES | Jun 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 105734 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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