NPI 1013191618

Richard Emer McDermott, DDSMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry O Fallon, MO

Practice location

Address: 3006 Highway K, O Fallon, MO 63368-8675
Phone: (636) 978-8848
Fax: (636) 978-0240
Mailing address: 506 Forest Grove Dr, Fenton, MO 63026-3052

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 2005031267 (MO)

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Registry record

NPI: 1013191618
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2007
Record last updated: 19 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.