Richard a Squires DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

11774 Issued in MO

Legal business name

RICHARD A SQUIRES DDS PC

Doing business as

Hollywood Smiles

Practice address

4630 Gravois Ave
Saint Louis, MO 63116-2446

Phone

(314) 352-2127

Fax

(314) 352-2388

NPI assigned

Aug 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard A Squires, DDS

Title

President

Phone

(314) 352-2127

Specialties & licenses 1

Addresses

Other names 1

• Hollywood Smiles Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1366556599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 GRAVOIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162446",
            "telephone_number": "314-352-2127",
            "fax_number": "314-352-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 GRAVOIS AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162446",
            "telephone_number": "314-352-2127",
            "fax_number": "314-352-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A SQUIRES DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-352-2127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "11774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith M Rich, MD
• Kristin Elizabeth Rich, CPNP-AC
• Margaret Mary Rich, M.D.
• Max Harrison Rich, MD
• Michael W Rich, MD
• Richard C Curtis Senior Services LLC
• Richard C Young LCSW Inc
• Richard C. Walters, M.D., P.C.
• Alex Richard, MD
• Amy Michelle Richard, DC

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.