DR JACK H MELTON
NPI 1063505113
Dentist - General Practice in St Simons Island, GA

Active since October 02, 2006
300 MAIN ST, STE 101, ST SIMONS ISLAND, GA 31522(912) 638-9001(912) 634-9819 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Jack H Melton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JACK H MELTON (NPI 1063505113) is a healthcare organization registered as a general practice in St Simons Island, Georgia and active in the NPI registry since October 2006. The organization lists Jack Heyward Melton, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1063505113
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePLANTATION DENTAL ASSOCIATES
Location Address300 MAIN ST, STE 101St Simons Island, GA 31522-1666
Mailing Address300 Main St, Ste 101St Simons Island, GA 31522-1666 · (912) 638-9001 · Fax (912) 634-9819
Fax(912) 634-9819
Organization SubpartNo
Authorized OfficialJack Heyward MeltonOwner/dentist · (912) 638-9001
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 17, 2008
NPI 1063505113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN008285
Definition
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.
300 MAIN ST, St Simons Island, GA 31522

Other Names 1

Doing Business AsDr Jack H Melton

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
300 MAIN ST, SUITE 102
ST SIMONS ISLAND, GA 31522
Dentist
300 MAIN ST, SUITE 101
ST SIMONS ISLAND, GA 31522
Dentist (General Practice)
300 MAIN ST, SUITE 102
ST SIMONS ISLAND, GA 31522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plantation Dental Associates's NPI number?

The NPI number for Plantation Dental Associates is 1063505113. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Dr Jack H Melton.

Where is Plantation Dental Associates located?

Plantation Dental Associates is located at 300 Main St Ste 101, St Simons Island, GA 31522. The listed phone number is (912) 638-9001.

What is Plantation Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Plantation Dental Associates was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.