NPIMap

Missouri Dental Professionals, Richard Straus, D.M.D., P.C.

Organization Active NPI General Practice Dentistry · Saint Peters, MO

NPI 1376149237 · NPPES record last updated Dec 7, 2020

Key facts

NPI
1376149237
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Practice address
340 Mid Rivers Mall Dr Ste E
Saint Peters, MO 63376-1581
Phone
(636) 279-1633
NPI assigned
Dec 7, 2020
Organization subpart
Yes
Parent organization (as reported)
MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.

Authorized official

Name
Tabatha Lemke
Title
Credentialing Coordinator
Phone
(217) 540-6078

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Heartland Family Dental Care of Missouri - Richard E Workman DMD PC (60 organizations share this tax ID)
Part of
Heartland Family Dental Care of Missouri - Richard E Workman DMD PC

Locations

340 Mid Rivers Mall Dr
Ste E
Saint Peters, MO 63376
Phone (636) 279-1633

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

340 Mid Rivers Mall Dr Ste E
Saint Peters, MO 63376-1581

Mailing address

340 Mid Rivers Mall Dr Ste E
Saint Peters, MO 63376-1581

Other names

  • Forum Dental - St. Peters Doing business as

Other providers in Saint Peters, MO

All providers in Saint Peters, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.