Poplar Bluff Children's Dentistry, LLC
Poplar Bluff Children's Dentistry, LLC provides Pediatric Dentistry in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2013.
- Licensed in
- MO
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2951 Kanell BlvdPoplar Bluff, MO 63901-4008 Not confirmed with CMS for 13 years — call before visiting
Phone: (573) 778-3042
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 2012019714 (MO) |
|---|
Record details
| NPI number | 1255771952 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reeca Daves — Pediatric Dentist · (573) 778-3042 |
| NPI enumerated | June 27, 2013 |
| Last updated in NPPES | June 27, 2013 |
| Mailing address | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 |