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Organization
DENTAL SURGEONS & ASSOCIATES,INC.
Active
Organization
DENTAL SURGEONS & ASSOCIATES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD GRETZ SR. DDS (PRESIDENT)
(724) 887-6260
Entity
Organization
Contact information
Practice address
419 N CHESTNUT ST, SCOTTDALE, PA 15683-1001
(724) 887-6260
(724) 887-6801
Mailing address
PO BOX 541, SCOTTDALE, PA 15683-0541
(724) 887-6260
(724) 887-6801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO16167L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017959470001
—
PA
01
—
006431
DORAL DENTAL
PA
01
—
122004
MED PLUS
PA
01
—
32240
DENTAL BENEFIT
PA
01
—
446180
UNITED CONCORDIA
PA
Enumeration date
04/06/2006
Last updated
01/06/2011
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