Healthcare Provider Details

I. General information

NPI: 1407385693
Provider Name (Legal Business Name): SARAH GRECH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2017
Last Update Date: 06/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 WASHINGTON RD
MC MURRAY PA
15317-2946
US

IV. Provider business mailing address

520 CORTLAND DR
FINLEYVILLE PA
15332-9707
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-4990
  • Fax: 724-941-8757
Mailing address:
  • Phone: 724-255-2270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS041340
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: