Individual
DR. JOHN MARSHALL GREGG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
(540) 951-8777
(540) 951-9642
Mailing address
100 PROFESSIONAL PARK DR SE, SUITE 1, BLACKSBURG, VA 24060-6665
(540) 951-8777
(540) 951-9642
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401005828
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8017808
—
VA
Enumeration date
10/31/2005
Last updated
07/08/2007
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