ANDREW AKINDUTIRE (NPI# 1104470368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104470368 |
Entity Type | Individual |
Full Name | ANDREW AKINDUTIRE |
Credential | DMD |
Practice Address |
3101 Oak Groove Rd. Suite 6 Poplar Bluff MO 63901 |
Mailing Address |
3101 Oak Grove Rd Ste 6 Poplar Bluff MO 63901-8944 |
Practice Telephone | 5738403013 |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-07-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2019028517 | MO | Dental Providers |
Street Address |
3101 OAK GROOVE RD. SUITE 6 |
City | POPLAR BLUFF |
State | MO |
Zip Code | 63901 |
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 |
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 |
1083050868 | Sylvan Harold Cohen | Pharmacist | 449 Hwy 53 South, Poplar Bluff, MO 63901 | 2013-05-20 |
Find all providers in zip 63901 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
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. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
1295097160 | Jared Hunter Beaird | Dentist | 1611 Lurlyn Drive, Suite A, Poplar Bluff, MO 63901 | 2012-06-15 |
1871812073 | George Frederick Blaich V | Dentist | 2700 Kanell Blvd, Poplar Bluff, MO 63901-3314 | 2010-05-27 |
1225205362 | Daniel Jackson Dds PC | Dentist | 821 West Pine Blvd, Poplar Bluff, MO 63901-4956 | 2008-05-08 |
1396881900 | Robert F. Rowland | Dentist | 1611 N. Westwood Blvd, Poplar Bluff, MO 63901 | 2007-01-30 |
1548322936 | John R Blaich | Dentist | 1300 N Westwood Blvd, Poplar Bluff, MO 63901-3314 | 2006-12-14 |
1982765426 | Randal L. Hillis Dds | Dentist | 1600 W Harper St, Poplar Bluff, MO 63901-4119 | 2006-12-12 |
1235231671 | Michael Barnett Price | Dentist | 1602 W Harper St, Poplar Bluff, MO 63901-4119 | 2006-09-05 |
1477660108 | Carol Talbott | Dentist | 1611 Lurlyn Dr Ste A, Poplar Bluff, MO 63901-2763 | 2006-08-25 |
Find all providers in POPLAR BLUFF |
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.