Missouri Dental Professionals, Richard Straus, Dmd, PC

NPI #1356632350 in O Fallon, Missouri

Provider Information

NPI Number: 1356632350
Entity Type: Organization
Organization Name: Missouri Dental Professionals, Richard Straus, Dmd, PC
Subpart: Yes (part of a larger organization)
Parent Organization: MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2011
Last Updated: Apr 25, 2018

Practice Location

Address: 3445 PHEASANT MEADOW DR
City: O Fallon
State: Missouri
ZIP Code: 63368-7324
Phone: (636) 240-0232

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8513

Specialties & Taxonomy Codes

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

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