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POPLAR BLUFF CHILDREN'S DENTISTRY, LLC
NPI 1255771952
Dentist - Pediatric Dentistry in Poplar Bluff, MO

Active since June 27, 2013
2951 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 778-3042 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Poplar Bluff Children's Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POPLAR BLUFF CHILDREN'S DENTISTRY, LLC (NPI 1255771952) is a healthcare organization registered as a pediatric dentistry in Poplar Bluff, Missouri and active in the NPI registry since June 2013. The organization lists Reeca Daves, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1255771952
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePOPLAR BLUFF CHILDREN'S DENTISTRY, LLC
Location Address2951 KANELL BLVDPoplar Bluff, MO 63901-4008
Mailing Address2951 Kanell BlvdPoplar Bluff, MO 63901-4008
Phone(573) 778-3042
Organization SubpartNo
Authorized OfficialReeca DavesPediatric Dentist · (573) 778-3042
Enumeration DateJune 27, 2013
✔ NPI 1255771952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MO · 2012019714
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.
2951 KANELL BLVD, Poplar Bluff, MO 63901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BURRIS-DAKE LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-1355
DR. COURTNEY MIKEL ATKINSON DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-1355
SHA ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-1355
DR. REECA DAVES D.D.S.
Dentist (Pediatric Dentistry)
2951 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-3042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poplar Bluff Children's Dentistry, LLC's NPI number?

The NPI number for Poplar Bluff Children's Dentistry, LLC is 1255771952. It was assigned to this organization in the NPPES registry on June 27, 2013.

Where is Poplar Bluff Children's Dentistry, LLC located?

Poplar Bluff Children's Dentistry, LLC is located at 2951 Kanell Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 778-3042.

What is Poplar Bluff Children's Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Poplar Bluff Children's Dentistry, LLC was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.