Individual
DR. GREG MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3241 RUE ROYALE, SAINT CHARLES, MO 63301-8225
(636) 493-1960
(636) 493-1963
Mailing address
3241 RUE ROYALE, SAINT CHARLES, MO 63301-8225
(636) 493-1960
(636) 493-1963
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028099
IL
122300000X
Dentist
2009007429
MO
1223G0001X
General Practice Dentistry
Primary
2067
MT
Other
Enumeration date
09/25/2006
Last updated
02/18/2010
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