Melanie Rose Corbliss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16493 Issued in MD

Practice address

6395 Dobbin Road
Ste 210
Columbia, MD 21045-4759

Phone

(410) 997-9366

Fax

(410) 715-1318

NPI assigned

Mar 30, 2016

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melanie Rose Culotta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 28, 2022 through Jan 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dobbin Dental Suite

  • General Practice Dentistry
  • Columbia, MD
  • NPI 1508930132
  NPD (past)
• Heritage Health and Housing, Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1851414965
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1801259791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6395 DOBBIN ROAD",
            "address_2": "STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454759",
            "telephone_number": "410-997-9366",
            "fax_number": "410-715-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 DOBBIN ROAD",
            "address_2": "STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454759",
            "telephone_number": "410-997-9366",
            "fax_number": "410-715-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBLISS",
        "first_name": "MELANIE",
        "middle_name": "ROSE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "CULOTTA",
            "middle_name": "ROSE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanon Cooper
• Vicki Lynn Cooper, D.M.D.
• Susannah Lynn Coover, PT
• Coram Healthcare Corporation of Greater DC (Coram CVS/specialty Infusion Services)
• Natasha Corbin
• Sarah Corcoran, D.C.
• Cordillera Counseling Services LLC
• Christina Louise Cordonnier
• Core Nutrition LLC (Core Wellness)
• Audra Marie Corente, M.S.

• General Practice Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.