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DR. MARK DAVID MELLMAN DDS
NPI 1700213188
Dentist in Brandon, FL

Active since October 01, 2013PECOS Enrolled
721 W. ROBERTSON ST., SUITE 107, BRANDON, FL 33511(813) 654-4545(813) 654-3470 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark David Mellman Dds NPPES

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

DR. MARK DAVID MELLMAN DDS (NPI 1700213188) is an individual dentist in Brandon, Florida, licensed in Florida (DN8712) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700213188
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK DAVID MELLMANCredential: DDS
Location Address721 W. ROBERTSON ST., SUITE 107Brandon, FL 33511
Mailing Address721 W. Robertson St., Suite 107Brandon, FL 33511 · (813) 654-4545 · Fax (813) 654-3470
Phone(813) 654-4545
Fax(813) 654-3470
Sole ProprietorNo
Enumeration DateOctober 1, 2013
✔ NPI 1700213188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN8712
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.
721 W. ROBERTSON ST., Brandon, FL 33511
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Mellman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mark Mellman's NPI number?

The NPI number for Mark Mellman is 1700213188. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Mark Mellman located?

Mark Mellman practices at 721 W. Robertson St. Suite 107, Brandon, FL 33511. The listed phone number is (813) 654-4545.

What is Mark Mellman's specialty?

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

Is Mark Mellman enrolled in Medicare?

Yes. Mark Mellman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Mellman was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.