Missouri Dental Professionals, Richard Straus, Dmd, PC
NPI #1710107032 in Springfield, Illinois
Provider Information
- NPI Number
- 1710107032
- 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 27, 2007
- Last Updated
- Apr 25, 2018
Practice Location
- Address
- 1316 EAST INDEPENDENCE ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 65804
- Phone
- (417) 889-0700
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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