Provider Demographics
NPI:1548036684
Name:MESSENGER, MELONIE (DH)
Entity type:Individual
Prefix:
First Name:MELONIE
Middle Name:
Last Name:MESSENGER
Suffix:
Gender:F
Credentials:DH
Other - Prefix:
Other - First Name:MELONIE
Other - Middle Name:
Other - Last Name:NESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:CO
Mailing Address - Zip Code:81410-0104
Mailing Address - Country:US
Mailing Address - Phone:970-640-0591
Mailing Address - Fax:
Practice Address - Street 1:360 E 8TH ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-2379
Practice Address - Country:US
Practice Address - Phone:970-874-2753
Practice Address - Fax:970-874-2943
Is Sole Proprietor?:No
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH000003026124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist