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
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