Richard Emer Mcdermott DDS, MS

NPI 1013191618 - Dentist - 1223X0400X

NPI Details
NPI 1013191618
Gender Male
Enumeration Date 12/19/2007
Last Updated 12/19/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
3006 HIGHWAY K
O FALLON MO, 63368-8675, US
Phone (636) 978-8848
Fax (636) 978-0240
Business Location
506 FOREST GROVE DR
FENTON MO, 63026-3052, US
Phone (636) 343-3633
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Missouri
License Number 2005031267
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According to our database, Dr. Richard Emer Mcdermott DDS, MS NPI is 1013191618, taxonomy code is 1223X0400X and license number is 2005031267, license state is located at Missouri. Richard Emer Mcdermott DDS, MS physically located at 3006 Highway K, O Fallon MO, 63368-8675. NPI Number Richard Emer Mcdermott DDS, MS has the Individual type.

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1013191618 NPI number is provided on an as is basis without warranty of any kind. 1013191618 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Emer Mcdermott DDS, MS are for informational purposes only.