Gregory Charles Tellatin, D.D.S.

General Practice Dentistry · Springfield, MO

Individual Active NPI

NPI number 1124114103

Practice location

1628 S. Campbell
Springfield, MO 65807-2002
Phone
(417) 862-0782
Fax
(417) 862-3866

Open in Google Maps

NPI record

NPI
1124114103
Entity type
Individual (Type 1)
Enumeration date
October 5, 2006
Last updated
February 23, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14175 MO

Mailing address

1628 S. Campbell
Springfield, MO 65807
Phone
(417) 862-0782
Fax
(417) 862-3866

About Dr. Tellatin

Gregory Charles Tellatin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1628 S. Campbell, Springfield, MO 65807-2002. The NPI number 1124114103 was assigned on October 5, 2006 and the record was last updated on February 23, 2015.

Dr. Tellatin lists a license in the registry: #14175 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gregory Charles Tellatin, D.D.S.?

The NPI number is 1124114103.

What is the phone number of Dr. Tellatin?

The phone number listed for the practice location is (417) 862-0782.

Where is Dr. Tellatin located?

1628 S. Campbell, Springfield, MO 65807-2002.

What is the taxonomy code for Dr. Tellatin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Springfield

All General Practice Dentistry providers in Springfield, MO →