Organization · Type 2 NPI

Missouri Dental Professionals, Richard Straus, Dmd, PC

General Practice Dentistry · O Fallon, MO

NPI number 1912109646 Active

Practice location

3011 Winghaven Blvd
O Fallon, MO 63368-3600

Fax (636) 561-6066

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Another provider at this address

Mahjuba ZehraGeneral Practice Dentistry O Fallon, MO NPI 1235029752

Other general practice dentistry providers in O Fallon

See all in O Fallon →

NPI record

NPI: 1912109646
Entity type: Organization (Type 2)
Issued: Jun 4, 2007
Last updated: Apr 24, 2018
Status: Active
Subpart: Yes of Missouri Dental Professionals, Richard Straus, Dmd, PC

Other names

<unavail>
Creative Smiles at Winghaven · doing business as
Creative Smiles at Winghaven · doing business as

Authorized official

Kendra Walker
Credentialing Team Lead
(217) 540-8513

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912109646

Missouri Dental Professionals, Richard Straus, Dmd, PC's National Provider Identifier is 1912109646, issued on Jun 4, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in O Fallon, MO. The record was last updated on Apr 24, 2018.