John Elie Gres, DDS
Individual provider Active NPI General Practice Dentistry · Giddings, TX
NPI 1851408355 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851408355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 13746 (TX)
- Practice address
- 623 E Hempstead St
Giddings, TX 78942-3419 - Phone
- (979) 542-1298
- Fax
- (979) 542-0440
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13746 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13746 | TX | Yes |
Addresses
Primary practice location
623 E Hempstead St
Giddings, TX 78942-3419
Mailing address
623 E. Hempstead St.
Giddings, TX 78942-3419
Phone (979) 542-1298
Other providers in Giddings, TX
- Giddings Eye Care PLLC
- Giddings Isd
- Giddings LTC Corporation
- Giddings TX SNF Management LLC
- Gidmec, LP
- Whitney L Hamilton
- Harmony Hearts Homecare, LLC
- Christopher Tyrone Harris
- Elizabeth Lowry Hill
- Susan Hinojosa
All providers in Giddings, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.