Modern Dental Professionals Co PC
NPI 1619358009ActiveOrganization· Dentist, General Practice· Highlands Ranch, CO
Dentist, General Practice in Highlands Ranch, Colorado, registered in NPPES in June 2015, part of Modern Dental Professionals Co PC. The authorized official on file is Craig Mellor, DDS, Pc Owner.
Overview
| NPI | 1619358009 |
|---|---|
| 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 · 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 |
|---|
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