| Missouri Dental Professionals, Richard Straus, D.m.d., P.c. | |
|
6492 Ronald Reagan Dr Lake Saint Louis MO 63367-2657 | |
| (636) 626-2071 | |
| (636) 626-2073 |
| Full Name | Missouri Dental Professionals, Richard Straus, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6492 Ronald Reagan Dr, Lake Saint Louis, Missouri |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Dental Professionals, Richard Straus, D.m.d., P.c. 6492 Ronald Reagan Dr Lake Saint Louis MO 63367-2657 Ph: (636) 626-2071 | Missouri Dental Professionals, Richard Straus, D.m.d., P.c. 6492 Ronald Reagan Dr Lake Saint Louis MO 63367-2657 Ph: (636) 626-2071 |
| NPI Number | 1710678271 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710678271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Borello Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6288 Ronald Reagan Dr., Lake Saint Louis, MO 63367 Phone: 636-625-4224 | |
Missouri Dental Professionals, Richard Straus, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Brevco Plaza, Suite 104, Lake Saint Louis, MO 63367 Phone: 636-561-9000 Fax: 636-561-9001 |