Dietrich, Thomas J

Dietrich, Thomas J is an individual health care provider with primary practice located at 4774 Munson St Nw Suite 102, Canton OH 44718-3634. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Pathology. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Dietrich, Thomas J can be contacted via phone (330) 494-6653.

Contact Information

Primary practice address
4774 Munson St Nw Suite 102 Canton OH 44718-3634
Phone: (330) 494-6653
Fax: (330) 494-6630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 21924 Ohio
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 21924 Ohio

Profile Details

NPI number 1841301942
LBN Legal business name Dietrich, Thomas J
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 31st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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