Gregory Diederich, D.D.S

NPI 1306066105 · on the registry since 2007 · sole proprietor

Practice

Address: 5064 Waterford Dr
Sheffield Village, OH 44035
Phone: (440) 934-5966
Fax: (440) 934-2408
Organisation at this address: Chan Family Dental
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio