Thomas J Dietrich, DDS, MD - Dentist in Canton, OH

Thomas J Dietrich, DDS, MD is a Dentist - Oral And Maxillofacial Surgery based in Canton, Ohio. Thomas J Dietrich is licensed to practice in Ohio (license number 21924) and his current practice location is 4774 Munson St Nw, Suite 102, Canton, Ohio. He can be reached at his office (for appointments etc.) via phone at (330) 494-6653.

NPI number for Thomas J Dietrich is 1841301942 and his current mailing address is 4774 Munson St Nw, Suite 102, Canton, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841301942.

Contact Information

Thomas J Dietrich, DDS, MD
4774 Munson St Nw, Suite 102,
Canton, OH 44718-3634
(330) 494-6653
(330) 494-6630

Map and Direction




Healthcare Provider's Profile

Full NameThomas J Dietrich
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location4774 Munson St Nw, Canton, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841301942
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 08/31/2010

Medical Identifiers

Medical identifiers for Thomas J Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841301942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 21924 (Ohio)Primary
1223P0106XDentist - Oral And Maxillofacial Pathology 21924 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas J Dietrich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas J Dietrich, DDS, MD
4774 Munson St Nw, Suite 102,
Canton, OH 44718-3634

Ph: (330) 494-6653
Thomas J Dietrich, DDS, MD
4774 Munson St Nw, Suite 102,
Canton, OH 44718-3634

Ph: (330) 494-6653

Reviews and Comments


Dentist in Canton, OH

Gerard J Bruno, DDS
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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