| Long Branch Dental Group, Del G. Gregory, D.d.s., Pc | |
|
1609 Maffry Ave Macon MO 63552-1960 | |
| (660) 385-3413 | |
| (660) 385-7069 |
| Full Name | Long Branch Dental Group, Del G. Gregory, D.d.s., Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1609 Maffry Ave, Macon, Missouri |
| Authorized Official Name and Position | Avis Lynn Marshall (OFFICE MANAGER) |
| Authorized Official Contact | 6603853413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Branch Dental Group, Del G. Gregory, D.d.s., Pc 1609 Maffry Ave Macon MO 63552-1960 Ph: (660) 385-3413 | Long Branch Dental Group, Del G. Gregory, D.d.s., Pc 1609 Maffry Ave Macon MO 63552-1960 Ph: (660) 385-3413 |
| NPI Number | 1043433451 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043433451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
James A. Wilson Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 S Missouri St, Macon, MO 63552 Phone: 660-385-5761 |