Individual provider · Type 1 NPI

Nicholas Ryan Mellum, DMD

General Practice Dentistry · Portland, OR

NPI number 1053454173 Active

Practice location

8910 N Kellogg St
Portland, OR 97203-3002

Call (503) 286-4492 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD8836 (OR)

General Practice Dentistry: 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.

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About NPI 1053454173

Nicholas Ryan Mellum, DMD's National Provider Identifier is 1053454173, issued on Feb 15, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on May 10, 2016.