Provider Demographics
NPI:1932479797
Name:MESSENGER DIGITAL DENTISTRY PC
Entity Type:Organization
Organization Name:MESSENGER DIGITAL DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MESSENGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:413-664-6545
Mailing Address - Street 1:PO BOX 272
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-0272
Mailing Address - Country:US
Mailing Address - Phone:413-664-6545
Mailing Address - Fax:413-664-4404
Practice Address - Street 1:1111 S STATE ST
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-3937
Practice Address - Country:US
Practice Address - Phone:413-664-6545
Practice Address - Fax:413-664-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18373122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty