Organization · Type 2 NPI

Daniel R. Pernoud, Dds, LLC

Dental Clinic/Center · Creve Coeur, MO

NPI number 1477447357 Active

Practice location

12401 Olive Blvd Ste 200
Creve Coeur, MO 63141-5448

Fax (314) 275-9010

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1477447357

Daniel R. Pernoud, Dds, LLC's National Provider Identifier is 1477447357, issued on Jun 5, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Creve Coeur, MO. The record was last updated on Jun 5, 2025.