MEDICARE: MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1134365125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, DMD, PC

Provider Business Mailing Address
First Line	:	3501 SW MARKET ST
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-2327
Country	:	US
Telephone Number	:	816-623-3565
Fax Number	:	816-623-3476

Provider Business Practice Location Address
First Line	:	3501 SW MARKET ST
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64082-2327
Country	:	US
Telephone Number	:	816-623-3565
Fax Number	:	816-623-3476

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	BELINDA HUERTA
Credential	:
Telephone Number	:	217-540-2100

Provider Enumeration Date	:	12/23/2008
Last Update Date	:	06/09/2023

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