Provider Demographics
NPI:1750537320
Name:ROBERT R. SCHLUETER DMD PC
Entity type:Organization
Organization Name:ROBERT R. SCHLUETER DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHLUETER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:314-842-6151
Mailing Address - Street 1:9914 KENNERLY RD.
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2704
Mailing Address - Country:US
Mailing Address - Phone:314-842-6151
Mailing Address - Fax:314-842-6421
Practice Address - Street 1:9914 KENNERLY RD.
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2704
Practice Address - Country:US
Practice Address - Phone:314-842-6151
Practice Address - Fax:314-842-6421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001527261223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty