Individual provider · Type 1 NPI

Thomas J. Dietrich, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Canton, OH

NPI number 1841301942 Active

Practice location

4774 Munson St NW, Suite 102
Canton, OH 44718-3634

Call (330) 494-6653 Map

Fax (330) 494-6630

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X21924 (OH)
Oral and Maxillofacial Pathology Dentistry 1223P0106X21924 (OH)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1841301942

Thomas J. Dietrich, DDS, MD's National Provider Identifier is 1841301942, issued on Aug 31, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Canton, OH. The record was last updated on Aug 31, 2010.