Provider Demographics
NPI:1558695460
Name:REUTHER, KATHRYN ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:REUTHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:REUTHER
Other - Last Name:ZACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3613 RICHARDSON SQUARE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-6027
Mailing Address - Country:US
Mailing Address - Phone:636-461-0093
Mailing Address - Fax:636-461-0229
Practice Address - Street 1:3613 RICHARDSON SQUARE DR STE 100
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-6027
Practice Address - Country:US
Practice Address - Phone:636-461-0093
Practice Address - Fax:636-461-0229
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20090271991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice