Provider Demographics
NPI:1407329972
Name:NICOLE J. MESSENGER, DMD, PLLC
Entity Type:Organization
Organization Name:NICOLE J. MESSENGER, DMD, PLLC
Other - Org Name:MESSENGER FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MESSENGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:919-596-1219
Mailing Address - Street 1:2206 PAGE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-7711
Mailing Address - Country:US
Mailing Address - Phone:919-596-1219
Mailing Address - Fax:
Practice Address - Street 1:2206 PAGE RD STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-7711
Practice Address - Country:US
Practice Address - Phone:919-596-1219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental