Gregory Pernoud, DDS

NPI #1265868863 in Rolla, Missouri

Provider Information

NPI Number: 1265868863
Entity Type: Individual
Name: Gregory Pernoud, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: Sep 16, 2013
Last Updated: Sep 16, 2013

Practice Location

Address: 1204 E STATE ROUTE 72
City: Rolla
State: Missouri
ZIP Code: 65401-3938
Phone: (573) 364-1934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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