| Dr. Gregory J. Pernoud, D.D.S., P.C. | |
|
112 South Second Street Festus MO 63028 | |
| (636) 937-1515 | |
| (636) 937-0790 |
| Full Name | Dr. Gregory J. Pernoud, D.D.S., P.C. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 112 South Second Street, Festus, Missouri |
| Authorized Official Name and Position | Gregory J. Pernoud (PRESIDENT) |
| Authorized Official Contact | 6369371515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Gregory J. Pernoud, D.D.S., P.C. 1204 E Hwy 72 Rolla MO 65401 Ph: (573) 364-1934 | Dr. Gregory J. Pernoud, D.D.S., P.C. 112 South Second Street Festus MO 63028 Ph: (636) 937-1515 |
| NPI Number | 1780773242 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780773242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 012735 (Missouri) | Primary |
Festus Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1373 Ymca Dr, Festus, MO 63028 Phone: 636-937-6565 |
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Endodontic Associates, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1431 Us Highway 61 South, Festus, MO 63028 Phone: 636-933-7001 Fax: 636-933-7002 |
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