RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC NPI 1720398910

NPI Information

RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC is a dental clinic center in Florissant, MO. RICHARD MCDERMOTT DDS MS ORTHODONTICS LLC NPI is 1720398910. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy Orthodontics.

The provider's business location address is:

3837 VAILE AVE
SUTIE G
FLORISSANT, MO
ZIP 63034
Phone: (314) 831-9399
Fax: (314) 831-8146

The provider's authorized official is Karen Sue Mccann .
The authorized official title is Practice Administrator and has the following contact phone number (618) 281-3399.

The enumeration date for this NPI number is 10/21/2010 and was last updated on 10/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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