Provider Demographics
NPI:1427069038
Name:MEIER, RICHARD G (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:G
Last Name:MEIER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5418 SOUTHFIELD CTR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-5907
Mailing Address - Country:US
Mailing Address - Phone:314-843-7667
Mailing Address - Fax:314-729-7505
Practice Address - Street 1:5418 SOUTHFIELD CTR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-5907
Practice Address - Country:US
Practice Address - Phone:314-843-7667
Practice Address - Fax:314-729-7505
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO131321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice