MEDICARE: PERRIN SAVILLE JUNGBLUTH D.D.S., M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	015997	MO

General Provider Information

NPI Number	:	1104887439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRIN SAVILLE JUNGBLUTH D.D.S., M.D.

Provider Business Mailing Address
First Line	:	3904 BECK RD STE 150
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-5037
Country	:	US
Telephone Number	:	816-279-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	3904 BECK RD STE 150
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-5037
Country	:	US
Telephone Number	:	816-279-3338
Fax Number	:	813-279-3339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	08/26/2025

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