Individual
DR. WILLIAM JARROD GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1148 LOGAN SEWELL DR, VIDALIA, LA 71373
(318) 336-5711
(318) 336-5714
Mailing address
1148 LOGAN SEWELL DR, VIDALIA, LA 71373
(318) 336-5711
(318) 336-5714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5476
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854760
—
LA
Enumeration date
11/09/2006
Last updated
07/08/2007
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