| Doctor Name: | DR. GREGORY GEORGE CASALONE |
| NPI Number: | 1699759480 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | 12841 |
| Business Practice Address: | 110 S 4th St Elsberry, MO - 633431426 |
| Business Phone Number: | 5738985575 |
| Business Fax Number: | |
| Mailing Address: | 110 S 4th St, ELSBERRY |
| State: | MO |
| Postal Code: | 633431426 |
| Phone Number: | 5738985575 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2005 |
| NPI Last Update Date: | 11/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |