Provider Demographics
NPI:1043399538
Name:MESSNER, RODNEY ALLEN (DMD)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:ALLEN
Last Name:MESSNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 GLASS RD NE STE 220
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2500
Mailing Address - Country:US
Mailing Address - Phone:319-395-7207
Mailing Address - Fax:319-395-0143
Practice Address - Street 1:4250 GLASS RD NE STE 220
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2500
Practice Address - Country:US
Practice Address - Phone:319-395-7207
Practice Address - Fax:319-395-0143
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-10133122300000X, 1223G0001X
WI59711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33802600Medicaid
IA0419963Medicaid