Provider Demographics
NPI:1154378107
Name:MESSINA, JOHN FRANKLIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANKLIN
Last Name:MESSINA
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 1:240 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-2630
Mailing Address - Country:US
Mailing Address - Phone:330-723-4581
Mailing Address - Fax:330-725-0881
Practice Address - Street 1:240 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-2630
Practice Address - Country:US
Practice Address - Phone:330-723-4581
Practice Address - Fax:330-725-0881
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300189881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice