Michelle Rega, DDS
Individual provider Active NPI General Practice Dentistry · O'Fallon, MO
NPI 1851460257 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851460257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2000144467 (MO)
- Practice address
- 2630 Hwy K
O'Fallon, MO 63368 - Phone
- (636) 978-8895
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000144467 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2000144467 | MO | Yes |
Addresses
Primary practice location
2630 Hwy K
O'Fallon, MO 63368
Mailing address
2630 Hwy K
O'Fallon, MO 63368
Phone (636) 978-8895
Other providers in O'Fallon, MO
- John Wayne Platt
- Jennifer A. Plessner
- Progress West Healthcare Center
- Reetika Puri
- Qi Enterprises
- Matthew E Reyering
- Brett Rough
- Rajiv Sadana
- Beverly Dawn Schneider
- Laura Michelle Sibley
All providers in O'Fallon, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.