NPIMap

Organization Active NPI

George F. Blaich, DMD & Associates, PC

  • General Practice Dentistry
  • Poplar Bluff, MO
National Provider Identifier
1700063005
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13547 Issued in MO
Legal business name
GEORGE F. BLAICH, DMD & ASSOCIATES, PC
Doing business as
Dental Arts Group
Practice address
1300 N Westwood Blvd
Poplar Bluff, MO 63901-3314
Phone
(573) 785-0111
Fax
(573) 785-3840
NPI assigned
Jan 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George F Blaich IV, DMDNPI 1134281512
Title
President/ Dentist
Phone
(573) 785-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13547 MO Primary

Addresses

Primary practice location

1300 N Westwood Blvd
Poplar Bluff, MO 63901-3314

Mailing address

1300 N Westwood Blvd
Poplar Bluff, MO 63901-3314
Phone (573) 785-0111

Other names 1

  • Dental Arts Group Doing business as

National Provider Directory

National Provider Directory

Locations

1300 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 785-0111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1700063005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013314",
            "telephone_number": "573-785-0111",
            "fax_number": "573-785-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013314",
            "telephone_number": "573-785-0111",
            "fax_number": "573-785-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE F. BLAICH, DMD & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "BLAICH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "573-785-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "13547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.