MEDICARE: DR. MARION L. MESSMER D.D.S.

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	0401008385	VA

General Provider Information

NPI Number	:	1609049725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARION L. MESSMER D.D.S.

Provider Business Mailing Address
First Line	:	3801 FAIRFAX DR
Second Line	:	SUITE 50
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1762
Country	:	US
Telephone Number	:	703-473-7603
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 TAYLOR SPRING LN
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-2266
Country	:	US
Telephone Number	:	703-473-7603
Fax Number	:

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

Provider Enumeration Date	:	04/09/2008
Last Update Date	:	04/09/2008

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