Look up the most recent NPI and PECOS records

Dental Arts Group L.L.C

Durable Medical Equipment & Medical Supplies

Suppliers

2700 Kanell Blvd, Poplar Bluff, MO 63901-3041

PECOS Enrollment

Based on the most recent information from CMS, provider Dental Arts Group L.L.C does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1679138036
Provider Type
Organization
Full Name
Dental Arts Group L.L.C

Subpart
Yes
Enumeration Date
5/1/2019
Last Updated
1/27/2020

Contact Information

Practice Location

2700 Kanell Blvd, Poplar Bluff, MO 63901-3041

(573) 785-0111

Unlisted Fax

Mailing Location

2700 Kanell Blvd, Poplar Bluff, MO 63901-3041

(573) 785-0111

Unlisted Fax

Authorized Official

Blaich, John R (Dentist)

(573) 785-0111

Provider Taxonomies

Code	Description	License
Code 332B00000X Primary	Description Durable Medical Equipment & Medical Supplies Suppliers	License Unlisted Issuer

Dental Arts Group L.L.C

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Ozark Physical Therapy Llp

Kneibert Clinic Llc

Northwest Pharmacy, Inc

Alliance Rehab And Medical Equipment

Ozark Physical Medicine Center For Operations Ozark Plaza And Medical

Marion Eye Centers, Ltd.

Provider Plus, Inc

Super D Drugs Acquisition Co.

Apria Healthcare Llc

Home Medical Supply Of Poplar Bluff, Inc.