Provider Demographics
NPI:1841270253
Name:METZLER, DAVID GRANT (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GRANT
Last Name:METZLER
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:PSC 482 BOX 247
Mailing Address - Street 2:
Mailing Address - City:CAMP FOSTER
Mailing Address - State:OKINAWA,
Mailing Address - Zip Code:FPO AP 96362
Mailing Address - Country:JP
Mailing Address - Phone:0118-161-1743
Mailing Address - Fax:
Practice Address - Street 1:PSC 482 BOX 247
Practice Address - Street 2:
Practice Address - City:CAMP FOSTER
Practice Address - State:OKINAWA,
Practice Address - Zip Code:FPO AP 96362
Practice Address - Country:JP
Practice Address - Phone:0118-161-1743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21531223P0300X
NC60651223P0300X
NV08711223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics