Provider Demographics
NPI:1518189265
Name:DREES, GRETCHEN S (DDS)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:S
Last Name:DREES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:D
Other - Last Name:ZELAZNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:100 ARBOR OAK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-2261
Mailing Address - Country:US
Mailing Address - Phone:804-798-7388
Mailing Address - Fax:804-798-0859
Practice Address - Street 1:100 ARBOR OAK DR STE 101
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-2261
Practice Address - Country:US
Practice Address - Phone:804-798-7388
Practice Address - Fax:804-798-0859
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008890122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist