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Search › Massachusetts › 101YA0400X

Jesse Mellor, LADC

NPI 1275788663 · on the registry since 2008 · sole proprietor

Practice

Address
44 Front St
490
Worcester, MA 01608
Phone
(508) 799-2934
Fax
(508) 770-1732
Organisation at this address
Wills Center
Willis Center
Oxford Group Inc,
Andrey Mazo Dmd Pc
Worcester Family Dental Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts