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NPI Code Detail

MEDICARE: LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.

MEDICARE: LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
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
1122300000XDentist
21223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1538202403
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C.
Provider Business Mailing Address
First Line : 312 N 10TH ST STE A
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63101-2062
Country : US
Telephone Number : 314-231-6151
Fax Number :
Provider Business Practice Location Address
First Line : 312 N 10TH ST STE A
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63101-2062
Country : US
Telephone Number : 314-231-6151
Fax Number :
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : CELIA HAYES
Credential :
Telephone Number : 217-540-2100
Provider Enumeration Date : 02/14/2007
Last Update Date : 05/12/2025

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Directions to “LIFETIME DENTAL CARE OF MISSOURI, RICHARD STRAUS, D.M.D., P.C. ” Practice Location

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