Long Branch Dental Group, del G. Gregory, D.D.S., PC
Organization Active NPI General Practice Dentistry · Macon, MO
NPI 1043433451 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043433451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- LONG BRANCH DENTAL GROUP, DEL G. GREGORY, D.D.S., PC
- Practice address
- 1609 Maffry Ave
Macon, MO 63552-1960 - Phone
- (660) 385-3413
- Fax
- (660) 385-7069
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Avis Lynn Marshall
- Title
- Office Manager
- Phone
- (660) 385-3413
Practitioners 3
-
Del Gene Gregory, D.D.S.
-
William Walter Marshall II, D.D.S.
-
Robert Mayo Wilhite, D.D.S.
National Provider Directory
Locations
1609 Maffry Ave
Macon, MO 63552
Phone (660) 385-3413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1609 Maffry Ave
Macon, MO 63552-1960
Mailing address
1609 Maffry Ave
Macon, MO 63552-1960
Phone (660) 385-3413
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- Andrew Lovy
- Macon County Ambulance District
- Macon County Commission for Developmentally Disabled Citizens
- Macon County Health Department
- Macon County Nursing Home District
All providers in Macon, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.