Individual
THOMAS EDWARD GRETZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
419 N CHESTNUT ST, SCOTTDALE, PA 15683-1001
(724) 887-6260
(724) 887-6801
Mailing address
419 N CHESTNUT ST, SCOTTDALE, PA 15683-1001
(724) 887-6260
(724) 887-6801
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO31193L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017959650001
—
PA
01
—
006431
DORAL DENTAL
PA
01
—
122004
MED PLUS
PA
01
—
32240
DENTAL BENEFIT
PA
01
—
446180
UNITED CONCORDIA
PA
Enumeration date
01/17/2007
Last updated
07/08/2007
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