# DENTAL SURGEONS & ASSOCIATES,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114980745
- **Authorized official:** DR. THOMAS EDWARD GRETZ SR. DDS (PRESIDENT)
- **Authorized official phone:** (724) 887-6260

## Contact information

- **Practice address:** 419 N CHESTNUT ST, SCOTTDALE, PA 15683-1001
- **Practice address phone:** (724) 887-6260
- **Practice address fax:** (724) 887-6801
- **Mailing address:** PO BOX 541, SCOTTDALE, PA 15683-0541
- **Mailing address phone:** (724) 887-6260
- **Mailing address fax:** (724) 887-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DSO16167L | PA | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 01/06/2011

## 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 |