Kleitz DMD Richardson DMD PC

General Practice Dentistry · St Louis, MO

Organization Active NPI

NPI number 1912056151

Practice location

13603 Barrett Office Drive
Ste 104
St Louis, MO 63021-7828
Phone
(314) 822-3868
Fax
(314) 822-1101

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NPI record

NPI
1912056151
Entity type
Organization (Type 2)
Enumeration date
January 9, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12234 MO
General Practice Dentistry 1223G0001X 12222 MO

Authorized official

Name
Dr. Donald Glenn Richardson, DMD
Title
VP
Phone
(314) 822-3868

Other names

  • Des Peres Dental Group Inc

About Kleitz DMD Richardson DMD PC

Kleitz DMD Richardson DMD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828. The NPI number 1912056151 was assigned on January 9, 2007 and the record was last updated on August 22, 2020.

Kleitz DMD Richardson DMD PC lists 2 licenses in the registry: #12234 (MO) for General Practice Dentistry; #12222 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Donald Glenn Richardson, DMD, VP.

Frequently asked questions

What is the NPI number of Kleitz DMD Richardson DMD PC?

The NPI number is 1912056151.

What is the phone number of Kleitz DMD Richardson DMD PC?

The phone number listed for the practice location is (314) 822-3868.

Where is Kleitz DMD Richardson DMD PC located?

13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828.

What is the taxonomy code for Kleitz DMD Richardson DMD PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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