Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY PERNOUD, DDS
Active Sole ProprietorGREGORY PERNOUD, DDS is a Oral & Maxillofacial Surgery healthcare provider located in ROLLA, Missouri. NPI 1265868863 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ROLLA, MO
Registration Details
- NPI Number
- 1265868863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2013 (12.951374873634 yrs)
- Last Updated
- Sep 16, 2013
- License
-
012735 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1204 E STATE ROUTE 72ROLLA, MO, 654013938Browse MO providers · Browse ZIP 65401
- Phone
- 5733641934
- Fax
- 5733648110
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.