Provider Demographics
NPI:1750505590
Name:MELISSA DINGLE, DC, PLLC
Entity Type:Organization
Organization Name:MELISSA DINGLE, DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:BERG
Authorized Official - Last Name:DINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:903-893-6551
Mailing Address - Street 1:PO BOX 1396
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-1396
Mailing Address - Country:US
Mailing Address - Phone:903-893-6551
Mailing Address - Fax:903-893-6552
Practice Address - Street 1:3405 N LOY LAKE RD
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1744
Practice Address - Country:US
Practice Address - Phone:903-893-6551
Practice Address - Fax:903-893-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty