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MISSOURI DENTAL PROFESSIONALS RICHARD STRAUS DMD PC NPI 1912109646


NPI Information

NPI: 1912109646
Provider Name: MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC

Doing Business As: CREATIVE SMILES AT WINGHAVEN

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3011 WINGHAVEN BLVD
O FALLON, MO
ZIP 63368
Phone: (636) 561-6035
Get Directions

MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC is a general practice dentist in O Fallon, MO. The provider is 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. MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC NPI is 1912109646. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Creative Smiles At Winghaven.

The provider's business location address is:

3011 WINGHAVEN BLVD
O FALLON, MO
ZIP 63368-600
Phone: (636) 561-6035
Fax: (636) 561-6066

The provider's authorized official is Kendra Walker .
The authorized official title is Credentialing Team Lead and has the following contact phone number (217) 540-8513.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 4/24/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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