Organization
CHRIS V GEROFF DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS GEROFF DDS (OWNER)
(417) 679-3509
Entity
Organization
Contact information
Practice address
195 MAIN STREET, GAINESVILLE, MO 65655
(417) 679-3509
(417) 679-0200
Mailing address
PO BOX 660, GAINESVILLE, MO 65655-0660
(417) 679-3509
(417) 679-0200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE010823
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403185606
—
MO
Enumeration date
09/05/2017
Last updated
09/05/2017
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