Provider Demographics
NPI:1689685596
Name:MESSNER, WILLIAM FREDERICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FREDERICK
Last Name:MESSNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 W BAYOU FOREST ROAD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:FL
Mailing Address - Zip Code:32439
Mailing Address - Country:US
Mailing Address - Phone:850-835-0491
Mailing Address - Fax:
Practice Address - Street 1:10221 HIGHWAY 98 WEST
Practice Address - Street 2:PALM PLAZA UNIT 10
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-4966
Practice Address - Country:US
Practice Address - Phone:850-650-2070
Practice Address - Fax:850-650-2073
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14159122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist