Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ambar Roberly Lora Melenciano, PORPHYTECHNICIAN

Individual provider Dental Assistant · NPI 1871372763

MS. Ambar Roberly Lora Melenciano, PORPHYTECHNICIAN is a Dental Assistant in Goose Creek, South Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

110 Nnptc Cir
Goose Creek, SC 29445-6314
Phone: (843) 794-7463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1871372763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PORPHYTECHNICIAN
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESSeptember 28, 2023
Certification dateSeptember 28, 2023