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Poplar Bluff Children's Dentistry, Llc
Pediatric Dentist in Poplar Bluff, Missouri
NPI 1255771952

Poplar Bluff Children's Dentistry, Llc is a Pediatric Dentist based in Poplar Bluff, MO and is specialized in Pediatric Dentistry. Poplar Bluff Children's Dentistry, Llc practices in Poplar Bluff, MO. The NPI Number for Poplar Bluff Children's Dentistry, Llc is 1255771952 and holds a License No. 2012019714 (Missouri).

The current practice location address for Poplar Bluff Children's Dentistry, Llc is 2951 Kanell Blvd, Poplar Bluff, MO and can be reached out via phone at 573-778-3042.

Location: 2951 Kanell Blvd, Poplar Bluff, MO, 63901-4008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255771952
Provider Name
Poplar Bluff Children's Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
2951 Kanell Blvd, Poplar Bluff, MO, 63901-4008
Phone Number
573-778-3042
Fax Number
Provider Enumeration Date
06/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2951 Kanell Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-4008
Phone Number
573-778-3042
Fax Number
person
Provider Business Mailing Address Details
Address
2951 Kanell Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-4008
Phone Number
573-778-3042
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2012019714 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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