DR. REECA DAVES (NPI# 1568623262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568623262 |
| Entity Type | Individual |
| Full Name | DR. REECA DAVES |
| Credential | D.D.S. |
| Practice Address |
2951 Kanell Blvd Poplar Bluff MO 63901-4008 |
| Practice Telephone | 5737783042 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2013-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | IN PROGRESS | KY | Dental Providers |
| N | 122300000X | Dentist | 3675 | AR | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2012019714 | MO | Dental Providers |
| Street Address |
2951 KANELL BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255771952 | Poplar Bluff Children's Dentistry, LLC | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2013-06-27 |
| 1457652125 | Courtney Mikel Atkinson | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2010-11-10 |
| 1417258393 | Burris-dake LLC | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2010-11-09 |
| 1508199498 | Sha Orthodontics | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255771952 | Poplar Bluff Children's Dentistry, LLC | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068009 | Hometown Pediatric Dentistry LLC | Dentist | 301 S Platte Clay Way Ste A, Kearney, MO 64060-8826 | 2020-06-18 |
| 1710539937 | M. Pratt, Dds, LLC | Dentist | 11709 Old Ballas Rd Ste 200, Saint Louis, MO 63141-7029 | 2019-07-09 |
| 1619471356 | Allison W Buford | Dentist | 2325 Dougherty Ferry Rd Ste 200, Saint Louis, MO 63122-3356 | 2018-03-19 |
| 1972014504 | Rock Dental Missouri LLC | Dentist | 181 N Kentucky Ave Ste 300, West Plains, MO 65775-2092 | 2017-10-23 |
| 1811408479 | Waldo Pediatric Dentistry | Dentist | 8043 Wornall Rd Ste 202, Kansas City, MO 64114-5822 | 2017-10-22 |
| 1437668126 | Como Pediatric Dentistry LLC | Dentist | 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 | 2017-09-25 |
| 1053848374 | Summit Pediatric Dentistry | Dentist | 24 Nw Chipman Rd Ste B, Lees Summit, MO 64063-1929 | 2017-05-17 |
| 1043741309 | Unruh Pediatric Dentistry LLC | Dentist | 717 N Highway 7, Blue Springs, MO 64014-6426 | 2017-03-27 |
| 1932552528 | Gerard Feldhaus Dds PC | Dentist | 415 E 69th Ter, Kansas City, MO 64131-1330 | 2016-07-19 |
| 1356721518 | Christopher Drake | Dentist | 1205 Ne Coronado Dr, Blue Springs, MO 64014-2928 | 2015-06-03 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.