Healthcare Provider Details

I. General information

NPI: 1942137922
Provider Name (Legal Business Name): MISSOURI DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4951 NE GOODVIEW CIR STE C
LEES SUMMIT MO
64064-1999
US

IV. Provider business mailing address

4951 NE GOODVIEW CIR STE C
LEES SUMMIT MO
64064-1999
US

V. Phone/Fax

Practice location:
  • Phone: 816-373-5574
  • Fax:
Mailing address:
  • Phone: 816-373-5574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: CEMYIRA MCDOUGAL
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 217-764-8609