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Gregory Pernoud, DDS
Oral and Maxillofacial Surgery (Dentist) in Rolla, Missouri
NPI 1265868863

Gregory Pernoud is a Oral and Maxillofacial Surgery (Dentist) based in Festus, MO and is specialized in Oral and Maxillofacial Surgery. Gregory Pernoud practices in Rolla, MO and has the professional credentials of DDS. The NPI Number for Gregory Pernoud is 1265868863 and holds a License No. 012735 (Missouri).

The current practice location address for Gregory Pernoud is 1204 E State Route 72, Rolla, MO and can be reached out via phone at 573-364-1934 and via fax at 573-364-8110.

Location: 1204 E State Route 72, Rolla, MO, 63028-2201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265868863
Provider Name
Gregory Pernoud
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1204 E State Route 72, Rolla, MO, 63028-2201
Phone Number
573-364-1934
Fax Number
573-364-8110
Provider Enumeration Date
09/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1204 E State Route 72
City
Rolla
State
Missouri
Zip
65401-3938
Phone Number
573-364-1934
Fax Number
573-364-8110
person
Provider Business Mailing Address Details
Address
1204 E State Route 72
City
Rolla
State
Missouri
Zip
65401-3938
Phone Number
573-364-1934
Fax Number
573-364-8110
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
012735 (Missouri)
Definition
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.
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