Richard Emer Mcdermott, DDS, MS Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · O Fallon, MO
- NPI
- 1013191618
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 2005031267 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-12-19
- Last updated
- 2007-12-19
Practice location
3006 Highway K
O Fallon, MO 63368-8675
(636) 978-8848