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DR. GREGORY CHARLES TELLATIN D.D.S.
NPI 1124114103
Dentist - General Practice in Springfield, MO

Active since October 05, 2006PECOS Enrolled
1628 S. CAMPBELL, SPRINGFIELD, MO 65807(417) 862-0782(417) 862-3866 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Gregory Charles Tellatin D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY CHARLES TELLATIN D.D.S. (NPI 1124114103) is an individual general practice provider in Springfield, Missouri, licensed in Missouri (14175) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124114103
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GREGORY CHARLES TELLATINCredential: D.D.S.
Location Address1628 S. CAMPBELLSpringfield, MO 65807-2002
Mailing Address1628 S. CampbellSpringfield, MO 65807 · (417) 862-0782 · Fax (417) 862-3866
Phone(417) 862-0782
Fax(417) 862-3866
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1124114103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 14175
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.
1628 S. CAMPBELL, Springfield, MO 65807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory Charles Tellatin D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Tellatin's NPI number?

The NPI number for Gregory Tellatin is 1124114103. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Gregory Tellatin located?

Gregory Tellatin practices at 1628 S. Campbell, Springfield, MO 65807. The listed phone number is (417) 862-0782.

What is Gregory Tellatin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gregory Tellatin enrolled in Medicare?

Yes. Gregory Tellatin is registered in the Medicare PECOS enrollment system.

What insurance does Gregory Tellatin accept?

Health plans from Guardian list Gregory Tellatin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Tellatin was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.