JONATHAN MELBERG
NPI 1447624473
Dentist in Silverdale, WA

Q: What is Jonathan Melberg's NPI number?

The NPI number for Jonathan Melberg is 1447624473. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Q: What is Jonathan Melberg's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Melberg was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 13, 2015

11065 PACIFIC CREST PL NW STE B105, SILVERDALE, WA 98383(360) 261-6154 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonathan Melberg NPPES

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

JONATHAN MELBERG (NPI 1447624473) is an individual dentist in Silverdale, Washington, licensed in Indiana (12012430A) and active in the NPI registry since November 2015. He maintains a secondary practice location in Camp Lejeune.

NPPES Registry Identity

NPI1447624473

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJONATHAN MELBERG

Location Address11065 PACIFIC CREST PL NW STE B105Silverdale, WA 98383-6607

Mailing Address2d Denbn/ndc, Psc 20130 315 Mchugh Blvd, Commanding OfficerCamp Lejeune, NC 28542-0130 · (910) 451-2208 · Fax (910) 451-8036

Phone(360) 261-6154

Sole ProprietorYes

Enumeration DateNovember 13, 2015

Last NPPES UpdateMarch 29, 2019

✔ NPI 1447624473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12012430A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE60813142 (WA)

11065 PACIFIC CREST PL NW STE B105, Silverdale, WA 98383

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Secondary Practice Location 1

Location 12D DENBN/NDC, PSC 20130 315 MCHUGH BLVD, COMMANDING OFFICERCAMP LEJEUNE, NC 28542-0130 · Phone (910) 451-2208 ext. 203 · Fax (910) 451-8036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

JASON MAH

Dentist (General Practice)