Provider Demographics
NPI:1801083894
Name:ALAN W. METZGER, DDS,PC
Entity type:Organization
Organization Name:ALAN W. METZGER, DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:METZGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:413-448-8024
Mailing Address - Street 1:2 SOUTH ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6196
Mailing Address - Country:US
Mailing Address - Phone:413-448-8024
Mailing Address - Fax:413-448-8208
Practice Address - Street 1:2 SOUTH ST
Practice Address - Street 2:SUITE 230
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6196
Practice Address - Country:US
Practice Address - Phone:413-448-8024
Practice Address - Fax:413-448-8208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13166261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental