DR. KIRSTINA JESSICA GRATZ DDS NPI 1083992689

NPI Information

NPI: 1083992689
Provider Name: DR. KIRSTINA JESSICA GRATZ, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
21781 OMEGA CT
GOSHEN, IN
ZIP 46528
Phone: (319) 430-8601
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DR. Kirstina Jessica Gratz, DDS is a pediatric dentistry dentist in Goshen, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Kirstina Jessica Gratz, DDS NPI is 1083992689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21781 OMEGA CT
GOSHEN, IN
ZIP 46528-809
Phone: (319) 430-8601

The NPI 1083992689 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/30/2011 and was last updated on 7/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		08858	IOWA	No
2	1223P0221X	Dentist	Pediatric Dentistry	12013407A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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