| Family Dentistry Of Poplar Bluff | |
|
1602 W. Harper Street Poplar Bluff MO 63901 | |
| (573) 785-5100 | |
| (573) 785-7787 |
| Full Name | Family Dentistry Of Poplar Bluff |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1602 W. Harper Street, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Poplar Bluff 1602 W. Harper Street Poplar Bluff MO 63901 Ph: (573) 785-5100 | Family Dentistry Of Poplar Bluff 1602 W. Harper Street Poplar Bluff MO 63901 Ph: (573) 785-5100 |
| NPI Number | 1700202488 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700202488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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