Individual provider · Type 1 NPI

Nathaniel Simon Mellul, DMD

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1043006554 Active

Practice location

420 W Watkins St
Phoenix, AZ 85003-2830

Call (602) 261-6842 Map

Mailing address

22 Exton Cir
Cherry Hill, NJ 08003-2961

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043006554

Nathaniel Simon Mellul, DMD's National Provider Identifier is 1043006554, issued on Apr 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on May 6, 2025.