| Lifetime Dental Care Of Missouri, Richard Straus, D.m.d., P.c. | |
|
1630 Market Center Blvd O'fallon MO 63304 | |
| (636) 978-8895 | |
| (636) 978-5936 |
| Full Name | Lifetime Dental Care Of Missouri, Richard Straus, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1630 Market Center Blvd, O'fallon, Missouri |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Missouri, Richard Straus, D.m.d., P.c. 1630 Market Center Blvd Ste 100 O Fallon MO 63368-8407 Ph: (636) 300-4380 | Lifetime Dental Care Of Missouri, Richard Straus, D.m.d., P.c. 1630 Market Center Blvd O'fallon MO 63304 Ph: (636) 978-8895 |
| NPI Number | 1285777839 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 05/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285777839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |