Individual provider Active NPI

Melissa Marie Connell, DDS

  • Pediatric Dentistry
  • Bluffton, SC
National Provider Identifier
1659513950
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DGD10949 Issued in SC
Practice address
5 Mott St
Bluffton, SC 29910-5215
Phone
(312) 848-2282
NPI assigned
Apr 1, 2009
Last updated
Dec 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 019-025711 IL
Pediatric Dentistry 1223P0221X DGD10949 SC Primary

Addresses

Primary practice location

5 Mott St
Bluffton, SC 29910-5215

Mailing address

PO Box 453
Bluffton, SC 29910-0453
Phone (312) 848-2282

Other practice location 1

10 Plantation Park Dr
Bluffton, SC 29910-6033
Phone (843) 227-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019-025711ILMDPediatric Dentist
DGD10949SCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Connell, DDS Pediatric Dentistry CurrentSince Jan 21, 2024 Accepting new patients

Locations

1615 N Wolcott Ave
Ste 1
Chicago, IL 60622
Phone (312) 281-4860

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1659513950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299100453",
            "telephone_number": "312-848-2282",
            "fax_number": "843-595-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOTT ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105215",
            "telephone_number": "312-848-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Plantation Park Dr",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299106033",
            "country_code": "US",
            "telephone_number": "843-227-3177",
            "fax_number": "843-595-5925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019-025711",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "DGD10949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.