Missouri Dental Professionals, Richard Straus, Dmd, PC

NPI #1972791986 in Lake Saint Louis, Missouri

Provider Information

NPI Number: 1972791986
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: Oct 4, 2007
Last Updated: Apr 26, 2018

Practice Location

Address: 100 BREVCO PLAZA
Address 2: SUITE 104
City: Lake Saint Louis
State: Missouri
ZIP Code: 63367
Phone: (636) 561-9000

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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Organizations

Provider Name	Specialty	City
Missouri Dental Professionals, Richard Straus, D.m.d., P.c. Part of Missouri Dental Professionals, Richard Straus, D.m.d., P.c.	Dentist - General Practice	Lake Saint Louis	AI Deep Dive

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