DR. GREGORY J. PERNOUD, D.D.S., P.C. - NPI 1780773242

Q: What is Dr. Gregory J. Pernoud, D.D.S., P.C.'s NPI number?

The NPI number for Dr. Gregory J. Pernoud, D.D.S., P.C. is 1780773242. It was assigned to this organization in the NPPES registry on October 12, 2006.

Q: What is Dr. Gregory J. Pernoud, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

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

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

DR. GREGORY J. PERNOUD, D.D.S., P.C. (NPI 1780773242) is a healthcare organization registered as an oral and maxillofacial surgery in Festus, Missouri and active in the NPI registry since October 2006. The organization lists Gregory J. Pernoud, President, as its authorized official.

NPPES Registry Identity

NPI1780773242

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameDR. GREGORY J. PERNOUD, D.D.S., P.C.

Location Address112 SOUTH SECOND STREETFestus, MO 63028

Mailing Address1204 E Hwy 72Rolla, MO 65401 · (573) 364-1934 · Fax (573) 364-8110

Phone(636) 937-1515

Fax(636) 937-0790

Organization SubpartNo

Authorized OfficialGregory J. PernoudPresident · (636) 937-1515

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 29, 2013

✔ NPI 1780773242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MO · 012735

Definition

An oral and maxillofacial surgery dentist specialized in 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.

112 SOUTH SECOND STREET, Festus, MO 63028

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dr. Gregory J. Pernoud, D.D.S., P.C.'s NPI number?

The NPI number for Dr. Gregory J. Pernoud, D.D.S., P.C. is 1780773242. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Dr. Gregory J. Pernoud, D.D.S., P.C. located?

Dr. Gregory J. Pernoud, D.D.S., P.C. is located at 112 South Second Street, Festus, MO 63028. The listed phone number is (636) 937-1515.

What is Dr. Gregory J. Pernoud, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Dr. Gregory J. Pernoud, D.D.S., P.C. was last updated on July 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.