Individual
DR. THEODORE ANTHONY RECHTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3450 BRIDGELAND DR, SUITE A, BRIDGETON, MO 63044-2605
(314) 770-0400
(314) 770-0170
Mailing address
3450 BRIDGELAND DR STE A, BRIDGETON, MO 63044-2605
(314) 770-0400
(314) 770-0170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2000157414
MO
332B00000X
Durable Medical Equipment & Medical Supplies
2000157414
MO
Other
Enumeration date
08/18/2006
Last updated
11/14/2018
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