Individual
THOMAS J DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
4774 MUNSON ST NW, SUITE 102, CANTON, OH 44718-3634
(330) 494-6653
(330) 494-6630
Mailing address
4774 MUNSON ST NW, SUITE 102, CANTON, OH 44718-3634
(330) 494-6653
(330) 494-6630
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
21924
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21924
OH
Other
Enumeration date
08/31/2006
Last updated
08/31/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us