DR. ROBERT OWEN WOLF


Address: 107 S Prospect Rd, Bloomington, IL 61704-4403
Phone: 3096630433

DR. ROBERT OWEN WOLF (NPI# 1962576967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962576967
Entity Type Individual
Full Name DR. ROBERT OWEN WOLF
Credential DDS
Practice Address 107 S Prospect Rd
Bloomington
IL 61704-4403
Mailing Address 700 N Larrabee St
#115
Chicago
IL 60654-7014
Practice Telephone 3096630433
Mailing Telephone 2169730552
Enumeration Date 2006-11-20
Last Update Date 2015-01-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019.028496 IL Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
30-019566 OH Dental Providers

Other Providers ROBERT WOLF

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1821136136 Robert Allen Wolf Family Medicine 9179 E Happy Hollow Dr, Scottsdale, AZ 85262-2574 2007-02-01
1750432308 Robert Wolf Optometrist 206 N Madison St, Woodstock, IL 60098-3450 2007-01-12
1063597581 Robert Irwin Wolf Psychologist 529 W 42nd St, Apt. 2l, New York, NY 10036-6220 2006-10-25
1841206729 Robert Hugh Wolf Chiropractor 2960 St Rose Parkway #150, Henderson, NV 89052 2006-07-31
1376566034 Robert John Wolf Internal Medicine 240 Saunders Rd, Riverwoods, IL 60015-3835 2006-07-25
1598722936 Robert Wolf Psychiatry & Neurology 1073 Oak St Se, Salem, OR 97301-4018 2006-04-28
1003805904 Robert J Wolf Radiology 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912-3756 2005-10-14
1215925235 Robert Jordan Wolf Family Medicine 361 Fair Hill Dr, Elkton, MD 21921-2512 2005-10-13

Office Location

Street Address 107 S PROSPECT RD
City BLOOMINGTON
State IL
Zip Code 61704-4403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033602883 Brock Gardner Dentist 107 S Prospect Rd, Bloomington, IL 61704-4403 2018-06-06
1366795437 Maple Shade Dental Bloomington LLC Dentist 107 S Prospect Rd, Bloomington, IL 61704-4403 2012-10-26
1851670152 Clint Boyle Dentist 107 S Prospect Rd, Bloomington, IL 61704-4403 2011-08-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1922588235 Geethu Sabu Makil Speech-Language Pathologist 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 2018-08-16
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1649798513 Sarah Goodner Psychologist 1704 Royal Pointe Drive, Bloomington, IL 61704 2017-08-31
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
1396107918 Darla Schwertfeger Specialist/Technologist, Other 2104 Hedgewood Dr, Bloomington, IL 61704 2016-03-23
1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1235522582 All Ways Caring Services, Inc. In Home Supportive Care 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 2015-03-11
1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962026948 Maria Contreras Mantilla Dentist 1320 W Bloomfield Rd, Bloomington, IN 47403-2001 2020-06-04
1144703026 Aneetam Bassi Dentist 3609 General Electric Rd Ste A, Bloomington, IL 61704-8766 2018-09-07
1467934505 Mary Therese Block Dentist 2507 E Poplar Dr, Bloomington, IN 47401-4327 2018-09-05
1619456373 Applewhite Dental Illinois, P.C. Dentist 2103 E Washington St Ste 1c, Bloomington, IL 61701-4365 2018-08-13
1154842581 Anna Noel Nord Dentist 1404 Eastland Dr Ste 102, Bloomington, IL 61701-7904 2017-07-06
1528416302 Nathaniel Gonzales Dentist 10700 France Ave S Ste 102, Bloomington, MN 55431-3693 2016-06-02
1902251911 Optim Dental Bloomington LLC Dentist 401 N Veterans Pkwy Ste 4, Bloomington, IL 61704-7716 2016-04-27
1194181560 Sleep Solutions of Central Illinois Dentist 2309 E. Empire St, Suite 500, Bloomington, IL 61704-8900 2016-01-14
1619353521 Courtney Morgan Dentist 2306 Stern Dr, Bloomington, IL 61704-4406 2015-08-03
1508240763 Marisa Lee Milligan Dentist 1404 Eastland Dr Ste 101, Bloomington, IL 61701-7904 2015-07-16
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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

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.

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