Modern Dental Professionals Co PC
NPI 1164803276ActiveOrganization· Dentist, General Practice· Parker, CO
Dentist, General Practice in Parker, 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 | 1164803276 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Modern Dental Professionals Co PC |
| NPI issued | Jun 15, 2015 |
| Last updated in NPPES | Jun 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 105734 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Dentist, General Practice providers in Parker
- 1982074043
- 1205485612
- 1477179521
- 1396813879
- 1285956953
- 1811012966
- 1184762817
- 1134466402
- 1427945179
- 1790395515
- 1013288752
- 1962962456