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Organization

MICHAEL P GRESS DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA J GLADIS (SURG ASST)
(814) 266-2190
Entity
Organization

Contact information

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

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018046340001
PA
01
615753
HIGHMARK PROVIDER ID
PA
Enumeration date
07/15/2006
Last updated
04/10/2017
Update your record

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