| Thomas J Dietrich, DDS, MD | |
|
4774 Munson St Nw, Suite 102, Canton, OH 44718-3634 | |
| (330) 494-6653 | |
| (330) 494-6630 |
| Full Name | Thomas J Dietrich |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4774 Munson St Nw, Canton, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841301942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 21924 (Ohio) | Primary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 21924 (Ohio) | Secondary |
| Mailing Address | Practice 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 |
Gerard J Bruno, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4573 Everhard Rd Nw, Canton, OH 44718 Phone: 330-499-2000 Fax: 330-499-2000 | |
Dr. Bruce E Treiber, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2221 Whipple Ave Nw, Canton, OH 44708 Phone: 330-478-4949 Fax: 330-478-9490 | |
Dr. Marissa Mikolich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Belden Village Mall, Canton, OH 44718 Phone: 330-494-7051 | |
Dr. Shelly L Boss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4097 Fulton Dr Nw, Canton, OH 44718 Phone: 330-492-1730 | |
Dr. Thomas Robert Kaufholz, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4550 Belden Village St Nw, Canton, OH 44718 Phone: 330-499-4600 Fax: 330-491-8179 | |
Lyle Eugene Mcgaughey Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5872 Fulton Rd Nw, Canton, OH 44718 Phone: 330-499-2388 Fax: 330-499-2388 | |
Dr. Kevin Sivaneri, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 |