Individual provider · Type 1 NPI
Michael James Pernoud, DDS
Oral and Maxillofacial Surgery (Dentist) · Washington, MO
NPI number
1962478305
Active
Practice location
1015 Washington Sq
Washington, MO 63090-5307
Fax (636) 239-7586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12314 (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 Washington
About NPI 1962478305
Michael James Pernoud, DDS's National Provider Identifier is 1962478305, issued on Feb 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Washington, MO. The record was last updated on Jul 13, 2026.