Reeca Daves in Poplar Bluff - Pediatric Dentistry
Reeca Daves - NPI 1568623262
Reeca Daves is a Pediatric Dentistry in Poplar Bluff, Missouri. Reeca Daves practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Reeca Daves is 1568623262. The last update date is 2013-06-26.
Reeca Daves's current location address is 2951 Kanell Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5737783042. The mailing address for Reeca Daves is 2951 Kanell Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reeca Daves |
|---|---|
| Address | 2951 Kanell Blvd, Poplar Bluff, Missouri |
| Phone Number | 5737783042 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1568623262 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2013-06-26 |
Provider Mailing Address Detail
| Address | 2951 Kanell Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639014008 |
| Phone Number | 5737783042 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2012019714 |
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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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What is the Reeca Daves's unique identification number?
The Reeca Daves has been assigned the NPI (National Provider Identifier) Number 1568623262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Reeca Daves is geographically located?
The Reeca Daves is physically situated at the following location: 2951 Kanell Blvd, Poplar Bluff, MO, 639014008.
What is Reeca Daves's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Reeca Daves's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Reeca Daves receive its 1568623262 assignment?
The Reeca Daves was assigned its 1568623262 on 2008-06-24, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Reeca Daves most recently updated or revised?
The details related to Reeca Daves, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-26.