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Dr. Gregory Williams Diedrich, DMD
General Practice Dentistry in Mishawaka, Indiana
NPI 1467977405

Gregory Williams Diedrich is a General Practice Dentistry based in Mishawaka, IN and is specialized in General Practice. Gregory Williams Diedrich practices in Mishawaka, IN and has the professional credentials of DMD. The NPI Number for Gregory Williams Diedrich is 1467977405 and holds a License No. 12012784A. (Indiana).

The current practice location address for Gregory Williams Diedrich is 605 W Douglas Rd, Mishawaka, IN and can be reached out via phone at 574-277-2220.

Location: 605 W Douglas Rd, Mishawaka, IN, 46545-1438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467977405
Provider Name
Gregory Williams Diedrich
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
605 W Douglas Rd, Mishawaka, IN, 46545-1438
Phone Number
574-277-2220
Fax Number
Provider Enumeration Date
08/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
605 W Douglas Rd
City
Mishawaka
State
Indiana
Zip
46545-1438
Phone Number
574-277-2220
Fax Number
person
Provider Business Mailing Address Details
Address
605 W Douglas Rd
City
Mishawaka
State
Indiana
Zip
46545-1438
Phone Number
574-277-2220
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12012784A. (Indiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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