Thomas Edward Gretz Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DSO31193L Issued in PA

Practice address

419 N Chestnut St
Scottdale, PA 15683-1001

Phone

(724) 887-6260

Fax

(724) 887-6801

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Surgeons & Associates,Inc.

  • Dentist
  • Scottdale, PA
  • NPI 1114980745
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235281445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N CHESTNUT ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831001",
            "telephone_number": "724-887-6260",
            "fax_number": "724-887-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N CHESTNUT ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831001",
            "telephone_number": "724-887-6260",
            "fax_number": "724-887-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZ",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO31193L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "006431",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS",
            "identifier": "122004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017959650001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT",
            "identifier": "32240",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "446180",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ray Geary, DC
• Gene Cook Supports, LLC
• Jennifer Siwula Gill, DMD
• Rhonda R Gretz Ward, DPM
• Kimberly Ann Gretz-Zambruno, DDS
• Thomas Edward Gretz Sr., DDS
• Tara D Hall, CRNP
• Samantha Herdt, CRNP
• Barbara Ann Hoffman, RPH
• George E Hoffman Jr., P.T., M.ED.

• Dentist in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.