| Dr Jay Richard Pontious, DDS | |
|
214 Schiller St, Hermann Dental, Llc, Hermann, MO 65041-1152 | |
| (573) 486-5431 | |
| (573) 486-4577 |
| Full Name | Dr Jay Richard Pontious |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 214 Schiller St, Hermann, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881757110 | NPI | - | NPPES |
| 33082 | Other | DELTA DENTAL | |
| 2001033082 | Other | MO | MO DENTAL REGISTRATION # |
| AP1037705 | Other | CONTROLLED SUBSTANCES REG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2001033082 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay Richard Pontious, DDS 214 Schiller St, Hermann Dental, Llc, Hermann, MO 65041-1152 Ph: (573) 486-5431 | Dr Jay Richard Pontious, DDS 214 Schiller St, Hermann Dental, Llc, Hermann, MO 65041-1152 Ph: (573) 486-5431 |
Dr. Kenneth R Wehrenberg, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1074 Stone Hill Hwy, Hermann, MO 65041 Phone: 573-486-2101 Fax: 618-282-6813 | |
Dr. Jack Fredrick Backs, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 154 State Route 100 W, Hermann, MO 65041 Phone: 573-486-3500 Fax: 573-486-3166 |