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Active NPI 1366328619 Individual Practitioner Female Practitioner

Dr. Jessica Ann Mellin , DMD

Dentist - General Practice • Clovis, NM

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Mellin, DMD is a registered healthcare professional specializing in Dentist - General Practice in Clovis, NM. Practice services are available at 600 TEXAS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Texas St

Clovis, NM 881019410

Telephone 5757621900

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Clovis, NM (761 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NM DB-2025-0244

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License SC 11109

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

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Joseph Park , DMD

Dentist - General Practice

NPI 1013399484

Doctor of Dental Medicine

Dr. Shenye He , DMD

Dentist - General Practice

NPI 1194107565

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address September 30, 2025

Registered at 600 TEXAS ST STE C, CLOVIS, NM 881019410 (Tel: 5757621900)

NPI Profile Active August 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2025

Registered at 600 TEXAS ST, CLOVIS, NM 881019410 (Tel: 5757621900)

📍
Updated Business Mailing Address August 13, 2025

Registered at 100 ABBEY RD, CLOVIS, NM 881018046

👤
Provider Name / Credentials Updated August 13, 2025

Recorded as JESSICA MELLIN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2025

Dentist (License #11109 in SC)

🟢
Initial NPI Registration & Enumeration August 13, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366328619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2025
Last Update: September 30, 2025
Sole Proprietor: No

Mailing Address

600 Texas St Ste C

Clovis, NM 881019410

Phone: 5757621900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.