Heritage Aesthetic Dentistry

LBN: Kim R. Melton, Dds, Phd, P.A.
Heritage Aesthetic Dentistry is an health care organization with primary practice located at 3205 Rogers Rd , Wake Forest NC 27587-3805. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kim R. Melton, Dds, Phd, P.A. can be contacted via phone (909) 453-2300, or through Melton, Kim R via phone (919) 453-2300.

Contact Information

Primary practice address
3205 Rogers Rd Wake Forest NC 27587-3805
Phone: (909) 453-2300
Fax: (919) 453-2301
Website:
Map and Directions
Authorized official contact:
Name: Melton, Kim R DDS, PHD
Phone: (919) 453-2300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7307 North Carolina

Profile Details

NPI number 1679788202
LBN Legal business name Kim R. Melton, Dds, Phd, P.A.
DBA Doing business as Heritage Aesthetic Dentistry
Authorized official Melton, Kim R DDS, PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679788202 NPPES
North Carolina MEDICAID 8990174

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