Organization · Type 2 NPI

Missouri Dental Professionals, Richard Straus, Dmd, PC

General Practice Dentistry · Lake St. Louis, MO

NPI number 1972791986 Active

Practice location

100 Brevco Plaza, Suite 104
Lake St. Louis, MO 63367

Fax (636) 561-9001

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	13950 (MO)

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.

Other general practice dentistry providers in Lake St. Louis

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NPI record

NPI: 1972791986
Entity type: Organization (Type 2)
Issued: Oct 4, 2007
Last updated: Apr 26, 2018
Status: Active
Subpart: Yes of Missouri Dental Professionals, Richard Straus, Dmd, PC

Other names

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Brevco Family Dentistry · doing business as
Brevco Family Dentistry · doing business as

Authorized official

Kendra Walker
Credentialing Team Lead
(217) 540-8513

Verify this record

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 1972791986

Missouri Dental Professionals, Richard Straus, Dmd, PC's National Provider Identifier is 1972791986, issued on Oct 4, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake St. Louis, MO. The record was last updated on Apr 26, 2018.