Individual
DR. GREGORY W DIMMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1251 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6205
(610) 435-6161
(610) 435-2902
Mailing address
1251 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6205
(610) 435-6161
(610) 435-2902
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS-025059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01349601
CBC #
PA
01
—
126987
HBS #
PA
Enumeration date
12/29/2005
Last updated
04/27/2015
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