Individual provider · Type 1 NPI

Gregory Charles Tellatin, DDS

General Practice Dentistry · Springfield, MO

NPI number 1124114103 Active

About NPI 1124114103

Gregory Charles Tellatin, DDS's National Provider Identifier is 1124114103, issued on Oct 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Springfield, MO. The record was last updated on Feb 23, 2015.