Travis D. Blaich, D.D.S.

General Practice Dentistry · Poplar Bluff, MO

Individual Active NPI

NPI number 1962882589

Practice location

2700 Kanell Blvd
Poplar Bluff, MO 63901-3041
Phone
(573) 785-0111

Open in Google Maps

NPI record

NPI
1962882589
Entity type
Individual (Type 1)
Enumeration date
June 9, 2015
Last updated
June 9, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2015017082 MO

About Dr. Blaich

Travis D. Blaich, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2700 Kanell Blvd, Poplar Bluff, MO 63901-3041. The NPI number 1962882589 was assigned on June 9, 2015 and the record was last updated on June 9, 2015.

Dr. Blaich lists a license in the registry: #2015017082 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Travis D. Blaich, D.D.S.?

The NPI number is 1962882589.

What is the phone number of Dr. Blaich?

The phone number listed for the practice location is (573) 785-0111.

Where is Dr. Blaich located?

2700 Kanell Blvd, Poplar Bluff, MO 63901-3041.

What is the taxonomy code for Dr. Blaich?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Poplar Bluff

All General Practice Dentistry providers in Poplar Bluff, MO →