| Organization Name: | MATTHEW J. MESSINA, D.D.S., INC. |
| NPI Number: | 1154485878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW JOSEPH MESSINA (PRESIDENT) |
| Mailing Address: | 20390 Lorain Rd Fairview Park |
| State: | OH US |
| Postal Code: | 441263411 |
| Phone Number: | 4408951627 |
| Fax Number: | 4408951635 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 18529 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |