Provider Demographics
NPI:1083631881
Name:MESSANA, BERNADETTA FRANCISZKA (DMD)
Entity Type:Individual
Prefix:DR
First Name:BERNADETTA
Middle Name:FRANCISZKA
Last Name:MESSANA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:BERNADETTA
Other - Middle Name:
Other - Last Name:ZABDYR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42 LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1014
Mailing Address - Country:US
Mailing Address - Phone:973-473-4413
Mailing Address - Fax:201-623-2500
Practice Address - Street 1:42 LOCUST LN
Practice Address - Street 2:
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-1014
Practice Address - Country:US
Practice Address - Phone:973-473-4413
Practice Address - Fax:201-623-2500
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI017942001223G0001X
NY044592-11223G0001X
VA04014115341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice