| Michael P Gress Dds Pc | |
|
1223 Scalp Ave Johnstown PA 15904-3150 | |
| (814) 266-2190 | |
| (814) 266-2903 |
| Full Name | Michael P Gress Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1223 Scalp Ave, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Rebecca J Gladis (SURG ASST) |
| Authorized Official Contact | 8142662190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Gress Dds Pc 1223 Scalp Ave Johnstown PA 15904-3150 Ph: (814) 266-2190 | Michael P Gress Dds Pc 1223 Scalp Ave Johnstown PA 15904-3150 Ph: (814) 266-2190 |
| NPI Number | 1700803145 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 04/10/2017 |
| Medicare PECOS PAC ID | 2062583909 |
|---|---|
| Medicare Enrollment ID | O20080619000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700803145 | NPI | - | NPPES |
| 615753 | Other | PA | HIGHMARK PROVIDER ID |
| 0018046340001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS034161L (Pennsylvania) | Primary |
| Provider Name | Michael P Gress |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1497731723 PECOS PAC ID: 0648341594 Enrollment ID: I20080619000538 |
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