Missouri Dental Professionals, Richard Straus, Dmd, PC
NPI #1568718690 in St. Charles, Missouri
Provider Information
- NPI Number
- 1568718690
- 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
- Jul 26, 2012
- Last Updated
- Apr 26, 2018
Practice Location
- Address
- 1520 SOUTH 5TH STREET
- Address 2
- SUITE 103
- City
- St. Charles
- State
- Missouri
- ZIP Code
- 63303
- Phone
- (636) 493-6494
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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