Dr. Michael David Gritz, D.D,S,
Dentist, General Practice in Long Beach, CA. Individual provider (NPI-1).
NPI number1407974652
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407974652
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael David Gritz
- Credential
- D.D,S,
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 27433 | CA | Yes |
Practice location
2535 Pacific AveLong Beach, CA 90806-3033
Phone 562-427-2736 · Fax 562-997-0537
Mailing address
2535 Pacific AveLong Beach, CA 90806-3033
Phone 562-427-2736 · Fax 562-997-0537
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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