DR. DAVID JENNINGS BLONG (NPI# 1639190143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639190143 |
| Entity Type | Individual |
| Full Name | DR. DAVID JENNINGS BLONG |
| Credential | D.D.S. |
| Practice Address |
16 E Bayfield St Washburn WI 54891-4401 |
| Mailing Address |
Po Box 415 Washburn WI 54891-0415 |
| Practice Telephone | 7153732612 |
| Mailing Telephone | 7153732612 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5709-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259908 | David M Blong | Chiropractor | 927 Braden Ave, Chariton, IA 50049-1782 | 2005-07-18 |
| Street Address |
16 E BAYFIELD ST |
| City | WASHBURN |
| State | WI |
| Zip Code | 54891-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104954437 | Thomas J Kvanbeck | Dentist | 16 E Bayfield St, 16 E Bayfield St, Washburn, WI 54891-4401 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851861405 | Brooke Ruberg | Speech-Language Pathologist | Northern Lights Services Inc, 706 Bratley Drive, Washburn, WI 54891 | 2018-11-27 |
| 1336619972 | Mikayla Janice Ritola | Occupational Therapy Assistant | Northern Lights Services, Inc 706 Bratley Drive, Washburn, WI 54891 | 2018-11-27 |
| 1427482520 | Katherine U. Martin | Registered Nurse | 29600 Nolander Rd., Washburn, WI 54891 | 2013-08-26 |
| 1649501214 | Sherry Ann Fowler | Ophthalmology | 27645 South Maple Hill Rd, Washburn, WI 54891 | 2010-01-21 |
| 1912174616 | Tammy Lynn Gustafson | Occupational Therapist | 706 Bratley Drive, Washburn, WI 54891 | 2008-05-12 |
| 1063550820 | City of Washburn | Emergency Medical Technician, Basic | 119 Washington Ave., Washburn, WI 54891 | 2007-02-02 |
| 1568522704 | Brownstone Rx | Pharmacy | 114 West Bayfield Street, Washburn, WI 54891 | 2006-12-11 |
| 1932436789 | Christie Iva Gustafson | Physical Therapy Assistant | 706 Bratley Drive, Washburn, WI 54891 | 2009-11-13 |
| 1366416539 | Stephen Robert Kreuser | General Practice | 320 Superior Ave, Washburn, WI 54891 | 2006-02-15 |
| 1821294539 | Harbor North Counseling | Social Worker | 14 East Bayfield St, Washburn, WI 54891-0003 | 2007-06-21 |
| Find all providers in zip 54891 | ||||
| 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 |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
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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.