Individual provider · Type 1 NPI

Gregory Thaddeus ST Clair, DDS

General Practice Dentistry · Port Jefferson, NY

NPI number 1104919463 Active

About NPI 1104919463

Gregory Thaddeus ST Clair, DDS's National Provider Identifier is 1104919463, issued on Oct 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 8, 2007.