Maria Bonasso Mezzanotte, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3788 Issued in WV

Practice address

729 Fairmont Rd Ste 100
Morgantown, WV 26501-4588

Phone

(304) 292-1764

Fax

(304) 247-1115

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1174726947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 FAIRMONT RD STE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014588",
            "telephone_number": "304-292-1764",
            "fax_number": "304-247-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 FAIRMONT RD STE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014588",
            "telephone_number": "304-292-1764",
            "fax_number": "304-247-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZZANOTTE",
        "first_name": "MARIA",
        "middle_name": "BONASSO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3788",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Metz, DO
• Sarah L Metz, PT
• Loren Michael Metzner, C.R.N.A.
• Christopher John Meyer, PA-C
• Kelly M Meyers, CRNA
• Ikenna Alban Mgbehoma, MD
• MGH Surgery LLC
• Brittany Michael
• James Payden Michael
• Michelle Michael, LGSW

• General Practice Dentistry in Morgantown, WV
• Providers in Morgantown, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.