1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Dentist
  6. NPI Profile

MICHAEL D. MELLUM, DMD PC
NPI 1407062128
Dentist - General Practice in Portland, OR

Active since May 16, 2007
8910 N KELLOGG ST, PORTLAND, OR 97203(503) 286-4492 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael D. Mellum, Dmd Pc NPPES

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

MICHAEL D. MELLUM, DMD PC (NPI 1407062128) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since May 2007. The organization lists Michael Deane Mellum, President, as its authorized official.

NPPES Registry Identity

NPI1407062128
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHAEL D. MELLUM, DMD PC
Location Address8910 N KELLOGG STPortland, OR 97203-3002
Mailing Address8910 N Kellogg StPortland, OR 97203-3002 · (503) 286-4492
Phone(503) 286-4492
Organization SubpartNo
Authorized OfficialMichael Deane MellumPresident · (503) 286-4492
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407062128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
8910 N KELLOGG ST, Portland, OR 97203
Open in Google Maps ↗

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.

NICK R. MELLUM DMD PC
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492
DR. NICHOLAS RYAN MELLUM DMD
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492
DR. MICHAEL D. MELLUM D.M.D.
Dentist (General Practice)
8910 N KELLOGG ST
PORTLAND, OR 97203
Multnomah County (503) 286-4492

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 Michael D. Mellum, Dmd PC's NPI number?

The NPI number for Michael D. Mellum, Dmd PC is 1407062128. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Michael D. Mellum, Dmd PC located?

Michael D. Mellum, Dmd PC is located at 8910 N Kellogg St, Portland, OR 97203. The listed phone number is (503) 286-4492.

What is Michael D. Mellum, Dmd PC'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 Michael D. Mellum, Dmd PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.