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Dr. Michael James Pernoud, DDS
Oral and Maxillofacial Surgery (Dentist) in Washington, Missouri
NPI 1962478305

Michael James Pernoud is a Oral and Maxillofacial Surgery (Dentist) based in Washington, MO and is specialized in Oral and Maxillofacial Surgery. Michael James Pernoud practices in Washington, MO and has the professional credentials of DDS. The NPI Number for Michael James Pernoud is 1962478305 and holds a License No. 12314 (Missouri).

The current practice location address for Michael James Pernoud is 1015 Washington Sq, Washington, MO and can be reached out via phone at 636-239-5959 and via fax at 636-239-7586. You can also correspond with Michael James Pernoud through the mailing address at 1015 WASHINGTON SQ, WASHINGTON, MO - 63090-5307 (mailing address contact number: 636-239-5959).

Location: 1015 Washington Sq, Washington, MO, 63090-5307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962478305
Provider Name
Michael James Pernoud
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1015 Washington Sq, Washington, MO, 63090-5307
Phone Number
636-239-5959
Fax Number
636-239-7586
Provider Enumeration Date
02/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1015 Washington Sq
City
Washington
State
Missouri
Zip
63090-5307
Phone Number
636-239-5959
Fax Number
636-239-7586
person
Provider Business Mailing Address Details
Address
1015 Washington Sq
City
Washington
State
Missouri
Zip
63090-5307
Phone Number
636-239-5959
Fax Number
636-239-7586
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12314 (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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