Dr. Jack Heyward Melton , DMD
Dentist - General Practice • St Simons Island, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Melton has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Melton, DMD was a registered Dentist - General Practice practicing in St Simons Island, GA. Throughout an active medical career spanning 15 years, Dr. Melton provided care at the practice location at 300 MAIN ST until profile deactivation on 2021-07-08.
Practice Location & Contact Primary Location
300 Main St
Ste 101
St Simons Island, GA 315221666
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in St Simons Island, GA
Practicing in St Simons Island, GA (3302 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
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Dentist
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 08, 2021
NPI status registered as active in NPPES database
Registered at 300 MAIN ST, STE 101, ST SIMONS ISLAND, GA 315221666 (Tel: 9126389001)
Registered at 300 MAIN ST, STE 101, ST SIMONS ISLAND, GA 315221666 (Tel: 9126389001)
Recorded as JACK MELTON, DMD
Dentist (License #DN008285 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
300 Main St, Ste 101
St Simons Island, GA 315221666
Phone: 9126389001
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.