| Chris V Geroff Dds Pc | |
|
195 Main Street Gainesville MO 65655 | |
| (417) 679-3509 | |
| (417) 679-0200 |
| Full Name | Chris V Geroff Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 195 Main Street, Gainesville, Missouri |
| Authorized Official Name and Position | Chris Geroff (OWNER) |
| Authorized Official Contact | 4176793509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris V Geroff Dds Pc Po Box 660 Gainesville MO 65655-0660 Ph: (417) 679-3509 | Chris V Geroff Dds Pc 195 Main Street Gainesville MO 65655 Ph: (417) 679-3509 |
| NPI Number | 1083132567 |
|---|---|
| Provider Enumeration Date | 09/05/2017 |
| Last Update Date | 09/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083132567 | NPI | - | NPPES |
| 403185606 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE010823 (Missouri) | Primary |