Active NPI
Bruce R. Trefz, DDS, PA
- Oral and Maxillofacial Surgery (Dentist)
- Gastonia, NC
National Provider Identifier
1326349556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4960
- Legal business name
- BRUCE R. TREFZ, DDS, PA
- Practice address
- 1041 X Ray Dr
Gastonia, NC 28054-7489 - Phone
- (704) 861-1235
- Fax
- (704) 853-2510
- NPI assigned
- Nov 4, 2010
- Last updated
- Nov 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Robert Trefz
- Title
- President
- Phone
- (704) 861-1235
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4960 | NC | Primary |
Addresses
Primary practice location
1041 X Ray Dr
Gastonia, NC 28054-7489
Mailing address
1041 X Ray Dr
Gastonia, NC 28054-7489
Phone (704) 861-1235
National Provider Directory
National Provider DirectoryLocations
1041 X Ray Dr
Gastonia, NC 28054
Phone (704) 820-1195
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Gastonia, NC
- NPI 1891787156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1326349556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-861-1235",
"fax_number": "704-853-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-861-1235",
"fax_number": "704-853-2510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE R. TREFZ, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-04",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "TREFZ",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-861-1235",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "4960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.