Organization
MISSOURI LIFETIME DENTAL PROFESSIONALS, RICHARD STRAUS, D.M.D., P.C.
Active
Parent organization
JAY F. HAUSER, DDS, PC
Other names
Premier Dental Partners West County - Old Ballas Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAY F. HAUSER, DDS, PC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-8905
Entity
Organization
Contact information
Practice address
605 OLD BALLAS RD STE 130, SAINT LOUIS, MO 63141-7070
(314) 256-2135
Mailing address
605 OLD BALLAS RD STE 130, SAINT LOUIS, MO 63141-7070
(314) 256-2135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
02/08/2023
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