Manish Anand, BDS,MDS,DMD
Individual provider Active NPI General Practice Dentistry · Poplar Bluff, MO
NPI 1902531759 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1902531759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2026042533 (MO)
- Practice address
- 3101 Oak Grove Rd Ste 6
Poplar Bluff, MO 63901-8916 - Phone
- (573) 840-3013
- NPI assigned
- Jul 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL15215 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients |
Locations
1 Boston Medical Ctr Pl
Roxbury, MA 02118
Phone (617) 414-5245
Interoperability endpoints
- manand173343@direct.bmc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | DL15215 | MA | |
| General Practice Dentistry | 1223G0001X | 2026042533 | MO | Yes |
Addresses
Primary practice location
3101 Oak Grove Rd Ste 6
Poplar Bluff, MO 63901-8916
Mailing address
939 Quincy Shore Dr
Quincy, MA 02170-3532
Phone (617) 515-6815
Other practice location 1
1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 638-8000
Other providers in Poplar Bluff, MO
- Connie Jean Alsup
- Alternative Sleep Solution
- Amedisys Missouri, L.L.C.
- Ampt, LLC
- Richard Armen Amundsen
- Anchorpoint Medical of the Ozarks
- Bailey Shea Anderson
- Ciara Anderson
- Jemmalee Andie Anderson
- Megan Christine Anderson
All providers in Poplar Bluff, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.