MEDICARE: ERIC PETER MESSINGER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5597	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730188590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC PETER MESSINGER DDS

Provider Business Mailing Address
First Line	:	2016 NE 3RD AVE
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-1705
Country	:	US
Telephone Number	:	360-834-3533
Fax Number	:	360-834-7765

Provider Business Practice Location Address
First Line	:	2016 NE 3RD AVE
Second Line	:
City	:	CAMAS
State	:	WA
Zip	:	98607-1705
Country	:	US
Telephone Number	:	360-834-3533
Fax Number	:	360-834-7765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	06/09/2008

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