Provider Demographics
NPI:1548734635
Name:SEAN F. MELTON, D.D.S., P.C.
Entity Type:Organization
Organization Name:SEAN F. MELTON, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-443-1474
Mailing Address - Street 1:301 SADDLE DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8098
Mailing Address - Country:US
Mailing Address - Phone:406-443-1419
Mailing Address - Fax:406-449-7589
Practice Address - Street 1:301 SADDLE DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8098
Practice Address - Country:US
Practice Address - Phone:406-443-1419
Practice Address - Fax:406-449-7589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1892OtherSTATE DENTAL LICENSE NUMBER