Dr. Kirstina Jessica Gratz
Dentist Pediatric Dentist
21781 Omega Ct
Goshen
, Indiana 46528-7809
Dr. Kirstina Jessica Gratz
Dentist Pediatric Dentist
21781 Omega Ct
Goshen
, Indiana 46528-7809
(641) 208-7953
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About
Features
Specialties
- Dentist
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Kirstina Jessica Gratz
- 13618 Ranier Dr
- Middlebury, IN
- Zip : 46540-8640
- Phone : (641) 208-7953
Second Address
- Dr. Kirstina Jessica Gratz
- 21781 Omega Ct
- Goshen, IN
- Zip : 46528-7809
- Phone : (319) 430-8601
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FAQs
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Is Dr. Kirstina Jessica Gratz a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 08858 | IA |
| Y | 1223P0221X | Pediatric Dentist | 12013407A | IN |
National Provider Identifier
| NPI | 1083992689 |
|---|---|
| Provider Name | Dr. Kirstina Jessica Gratz |
| First Address | Middlebury, IN 46540-8640 |
| Second Address | Goshen, IN 46528-7809 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2011 |
| Last Update Date | 10/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.