Provider Demographics
NPI:1619068822
Name:LAUREN A METZGER DMD PC
Entity Type:Organization
Organization Name:LAUREN A METZGER DMD PC
Other - Org Name:COASTALPERIODONTICS & IMPLANT DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:METZGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:251-342-1644
Mailing Address - Street 1:505 GEORGIAN DRIVE STE A
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609
Mailing Address - Country:US
Mailing Address - Phone:251-342-1644
Mailing Address - Fax:251-342-1648
Practice Address - Street 1:505 GEORGIAN DRIVE STE A
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609
Practice Address - Country:US
Practice Address - Phone:251-342-1644
Practice Address - Fax:251-342-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty