John S.T. Gregg, DMD
Individual provider Active NPI General Practice Dentistry · Olyphant, PA
NPI 1922086024 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922086024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS027367L (PA)
- Practice address
- 500 Park St
Olyphant, PA 18447-1982 - Phone
- (570) 383-9066
- Fax
- (570) 383-4183
- NPI assigned
- Jan 9, 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 |
|---|---|---|---|
| DS027367L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS027367L | PA | Yes |
Addresses
Primary practice location
500 Park St
Olyphant, PA 18447-1982
Mailing address
500 Park St
Olyphant, PA 18447-1982
Phone (570) 383-9066
Other providers in Olyphant, PA
- Family Pharmacy of Olyphant Inc
- Amy Marie Florence
- Geisinger Clinic
- Michael Joseph Genello
- Lianna G Gould
- Michele M Gripp
- Hand Surgery Associates LLC
- Healing Touch Biblical Christian Counseling Inc.
- Home Health Care Professionals, Inc.
- Home Health Care Professionals, Inc.
All providers in Olyphant, PA · General Practice Dentistry in Pennsylvania
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.