Missouri Dental Professionals, Richard Straus, Dmd, PC
NPI #1700202488 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1700202488
- 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
- Mar 5, 2014
- Last Updated
- Apr 25, 2018
Practice Location
- Address
- 1602 W. HARPER STREET
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901
- Phone
- (573) 785-5100
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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