Dr. Gregory J. Pernoud, D.d.s., P.c.

NPI #1780773242 in Festus, Missouri

Provider Information

NPI Number: 1780773242
Entity Type: Organization
Organization Name: Dr. Gregory J. Pernoud, D.d.s., P.c.
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Oct 12, 2006
Last Updated: Jul 29, 2013

Practice Location

Address: 112 SOUTH SECOND STREET
City: Festus
State: Missouri
ZIP Code: 63028
Phone: (636) 937-1515

Authorized Official

Name: DR. GREGORY J. PERNOUD, D.D.S.
Title: PRESIDENT
Phone: (636) 937-1515

Specialties & Taxonomy Codes

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

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