Lifetime Dental Care of Missouri, Richard Straus, D.m.d., P.c.

NPI #1295483006 in Fenton, Missouri

Provider Information

NPI Number: 1295483006
Entity Type: Organization
Organization Name: Lifetime Dental Care of Missouri, Richard Straus, D.m.d., P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 11, 2022
Last Updated: May 12, 2025

Practice Location

Address: 750 GRAVOIS BLUFFS BLVD STE C
City: Fenton
State: Missouri
ZIP Code: 63026-7720
Phone: (636) 203-4100

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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