Individual
DR. RICHARD J. VARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MBA
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 617-2500
Mailing address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(412) 608-0320
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2018015359
MO
122300000X
Dentist
DS040417
PA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2018015359
MO
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DS040417
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400078066
—
MO
Enumeration date
09/15/2015
Last updated
02/23/2026
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