Provider Demographics
NPI:1720414683
Name:GEORGE E METZ III DDS, PA
Entity Type:Organization
Organization Name:GEORGE E METZ III DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:METZ
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS, PA
Authorized Official - Phone:830-229-5581
Mailing Address - Street 1:25 FM 3351 S
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5710
Mailing Address - Country:US
Mailing Address - Phone:830-229-5581
Mailing Address - Fax:830-336-3381
Practice Address - Street 1:25 FM 3351 S
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-5710
Practice Address - Country:US
Practice Address - Phone:830-229-5581
Practice Address - Fax:830-336-3381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX191671223G0001X
TX239921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty