Provider Demographics
NPI:1689479859
Name:KATHRYN REUTHER DDS PC
Entity type:Organization
Organization Name:KATHRYN REUTHER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:REUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:636-461-0093
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment