MEDICARE: DR. RICHARD G MEIER DDS

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	13132	MO

General Provider Information

NPI Number	:	1427069038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD G MEIER DDS

Provider Business Mailing Address
First Line	:	5418 SOUTHFIELD CTR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-5907
Country	:	US
Telephone Number	:	314-843-7667
Fax Number	:	314-729-7505

Provider Business Practice Location Address
First Line	:	5418 SOUTHFIELD CTR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-5907
Country	:	US
Telephone Number	:	314-843-7667
Fax Number	:	314-729-7505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	11/21/2007

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