Provider Demographics
NPI:1558074054
Name:YOUNG, MELISSA IRENE HAMMETT (DDS)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:IRENE HAMMETT
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 LAMBERT DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5155
Mailing Address - Country:US
Mailing Address - Phone:979-733-4330
Mailing Address - Fax:
Practice Address - Street 1:5102 FM 1463 RD STE 100
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7871
Practice Address - Country:US
Practice Address - Phone:281-204-2156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist