OrganizationActive
Dr. Gregory J. Pernoud, D.D.S., P.C.
NPI 1780773242 · Oral and Maxillofacial Surgery (Dentist) · Festus, MO
Provider details
- NPI number
- 1780773242
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Gregory Pernoud, President(636) 937-1515
- License
- 012735 (MO)
Specialties & taxonomies
Dental Providers
Practice location
112 South Second Street
Festus, MO 63028
Phone: (636) 937-1515
Fax: (636) 937-0790
Approximate (ZIP-level) locationGet directions
Mailing address
1204 E Hwy 72
Rolla, MO 65401
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2013-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.