TRAVIS D BLAICH D.D.S.
NPI 1962882589
Dentist - General Practice in Poplar Bluff, MO

Q: What is Travis Blaich's NPI number?

The NPI number for Travis Blaich is 1962882589. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Q: What is Travis Blaich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Travis Blaich was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 09, 2015

2700 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 785-0111 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Travis D Blaich D.d.s. NPPES

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

TRAVIS D BLAICH D.D.S. (NPI 1962882589) is an individual general practice provider in Poplar Bluff, Missouri, licensed in Missouri (2015017082) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1962882589

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTRAVIS D BLAICHCredential: D.D.S.

Location Address2700 KANELL BLVDPoplar Bluff, MO 63901-3041

Mailing Address2700 Kanell BlvdPoplar Bluff, MO 63901-3041 · (573) 785-0111

Phone(573) 785-0111

Sole ProprietorYes

Enumeration DateJune 9, 2015

✔ NPI 1962882589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2015017082

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2700 KANELL BLVD, Poplar Bluff, MO 63901

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Other Providers at the Same Location NPPES 3

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

LAUREN E BLAICH D.D.S.

Dentist (General Practice)

2700 KANELL BLVD
POPLAR BLUFF, MO 63901

Butler County (573) 785-0111

DR. JOHN R BLAICH D.M.D.

Dentist (General Practice)

2700 KANELL BLVD
POPLAR BLUFF, MO 63901

Butler County (573) 785-0111

DENTAL ARTS GROUP L.L.C

Durable Medical Equipment & Medical Supplies

2700 KANELL BLVD
POPLAR BLUFF, MO 63901

Butler County (573) 785-0111

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 Travis Blaich's NPI number?

The NPI number for Travis Blaich is 1962882589. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Travis Blaich located?

Travis Blaich practices at 2700 Kanell Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 785-0111.

What is Travis Blaich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Travis Blaich was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.