Provider Demographics
NPI:1992862130
Name:ZILBERT, MELISSA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:L
Last Name:ZILBERT
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 1:15303 HUEBNER RD STE 5
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-0982
Mailing Address - Country:US
Mailing Address - Phone:210-408-2700
Mailing Address - Fax:
Practice Address - Street 1:15303 HUEBNER RD STE 5
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0982
Practice Address - Country:US
Practice Address - Phone:210-408-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15687122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist