Organization · Type 2 NPI
W . Jarrod Gregg, Dds, LLC
Dental Clinic/Center · Vidalia, LA
NPI number
1407479819
Active
Practice location
1148 Logan Sewell Dr
Vidalia, LA 71373-3342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1407479819
W . Jarrod Gregg, Dds, LLC's National Provider Identifier is 1407479819, issued on May 20, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vidalia, LA. The record was last updated on May 20, 2020.