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Dr. Jay Richard Pontious, DDS
General Practice Dentistry in Hermann, Missouri
NPI 1881757110

Jay Richard Pontious is a General Practice Dentistry based in Hermann, MO and is specialized in General Practice. Jay Richard Pontious practices in Hermann, MO and has the professional credentials of DDS. The NPI Number for Jay Richard Pontious is 1881757110 and holds a License No. 2001033082 (Missouri).

The current practice location address for Jay Richard Pontious is 214 Schiller St, Hermann, MO and can be reached out via phone at 573-486-5431 and via fax at 573-486-4577.

Location: 214 Schiller St, Hermann, MO, 65041-1152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881757110
Provider Name
Jay Richard Pontious
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
214 Schiller St, Hermann, MO, 65041-1152
Phone Number
573-486-5431
Fax Number
573-486-4577
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33082 01 DELTA DENTAL
2001033082 01 MO MO DENTAL REGISTRATION #
AP1037705 01 CONTROLLED SUBSTANCES REG
institution
Provider Business Practice Location Address Details
Address
214 Schiller St
City
Hermann
State
Missouri
Zip
65041-1152
Phone Number
573-486-5431
Fax Number
573-486-4577
person
Provider Business Mailing Address Details
Address
214 Schiller St
City
Hermann
State
Missouri
Zip
65041-1152
Phone Number
573-486-5431
Fax Number
573-486-4577
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2001033082 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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