Organization · Type 2 NPI
Dr. Gregory J. Pernoud, D.d.s., P.c.
Oral and Maxillofacial Surgery (Dentist) · Festus, MO
NPI number
1780773242
Active
Practice location
112 South Second Street
Festus, MO 63028
Fax (636) 937-0790
Mailing address
1204 E Hwy 72
Rolla, MO 65401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 012735 (MO) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Festus
About NPI 1780773242
Dr. Gregory J. Pernoud, D.d.s., P.c.'s National Provider Identifier is 1780773242, issued on Oct 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Festus, MO. The record was last updated on Jul 29, 2013.