# MICHAEL P GRESS DDS PC

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

## Provider details

- **NPI number:** 1700803145
- **Authorized official:** MS. REBECCA J GLADIS (SURG ASST)
- **Authorized official phone:** (814) 266-2190

## Contact information

- **Practice address:** 1223 SCALP AVE, JOHNSTOWN, PA 15904-3150
- **Practice address phone:** (814) 266-2190
- **Practice address fax:** (814) 266-2903
- **Mailing address:** 1223 SCALP AVE, JOHNSTOWN, PA 15904-3150
- **Mailing address phone:** (814) 266-2190
- **Mailing address fax:** (814) 266-2903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS034161L | PA | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 04/10/2017