Chris V Geroff, DDS
Individual provider Active NPI General Practice Dentistry · Gainesville, MO
NPI 1184839391 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1184839391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE010823 (MO)
- Practice address
- 195 Main Street
Gainesville, MO 65655 - Phone
- (417) 679-3509
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE010823 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris V Geroff DDS PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE010823 | MO | Yes |
Addresses
Primary practice location
195 Main Street
Gainesville, MO 65655
Mailing address
PO Box 660
195 Main St
Gainesville, MO 65655-0660
Phone (417) 679-3509
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE010823 | Other | MO | MO LICENSE NUMBER |
Other providers in Gainesville, MO
- Douglas County Public Health Services Group, Inc.
- Callie Coppedge Emmart
- Firstcall Family Healthcare
- Gainesville Pharmacy LLC
- Gainesville R-V School District
- Rebecca Marie Gosdin
- Lacy Dawn Green
- Healing Intentionally, LLC
- Edward Henegar
- Mina K Higgins
All providers in Gainesville, 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 Apr 20, 2017. 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.