# RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
- **Other names:** Legacy Orthodontics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720398910
- **Legal business name:** RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC
- **Authorized official:** KAREN SUE MCCANN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (618) 281-3399

## Contact information

- **Practice address:** 3837 VAILE AVE, SUTIE G, FLORISSANT, MO 63034
- **Practice address phone:** (314) 831-9399
- **Practice address fax:** (314) 831-8146
- **Mailing address:** 3837 VAILE AVE, SUITE G, FLORISSANT, MO 63034
- **Mailing address phone:** (314) 831-9399
- **Mailing address fax:** (314) 831-8146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 31267 | MO | Yes |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 10/21/2010