Provider Demographics
NPI:1295888485
Name:MESSENGER, EUGENE E (DDS)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:E
Last Name:MESSENGER
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 1:1111 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-3937
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA183731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice