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Active NPI 1962882589 Individual Practitioner Male Practitioner

Dr. Travis D Blaich , DDS

Dentist - General Practice • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Dr. Travis Blaich, DDS is a registered healthcare professional specializing in Dentist - General Practice in Poplar Bluff, MO. Practice services are available at 2700 KANELL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2700 Kanell Blvd

Poplar Bluff, MO 639013041

Telephone 5737850111
Associated Practice Facility / Clinic
🏢 Dental Arts Group L.l.c Facility NPI 1679138036

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Poplar Bluff, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2015017082

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. George Blaich , DMD

Dentist - General Practice

NPI 1134281512

Doctor of Dental Medicine

Dr. Lauren Blaich , DDS

Dentist - General Practice

NPI 1336597186

Doctor of Dental Surgery

Dr. John Blaich , DMD

Dentist - General Practice

NPI 1548322936

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2015

Registered at 2700 KANELL BLVD, POPLAR BLUFF, MO 639013041 (Tel: 5737850111)

📍
Updated Business Mailing Address June 09, 2015

Registered at 2700 KANELL BLVD, POPLAR BLUFF, MO 639013041 (Tel: 5737850111)

👤
Provider Name / Credentials Updated June 09, 2015

Recorded as TRAVIS BLAICH, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2015

Dentist (License #2015017082 in MO)

🟢
Initial NPI Registration & Enumeration June 09, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962882589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2015
Last Update: June 09, 2015
Sole Proprietor: Yes

Mailing Address

2700 Kanell Blvd

Poplar Bluff, MO 639013041

Phone: 5737850111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.