Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962576967 Individual Practitioner Male Practitioner

Dr. Robert Owen Wolf , DDS

Dentist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Wolf, DDS is a registered healthcare professional specializing in Dentist in Bloomington, IL. Practice services are available at 107 S PROSPECT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

107 S Prospect Rd

Bloomington, IL 617044403

Telephone 3096630433
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Bloomington, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.028496

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30-019566

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1851670152

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 26, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 26, 2015

Registered at 107 S PROSPECT RD, BLOOMINGTON, IL 617044403 (Tel: 3096630433)

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Updated Business Mailing Address January 26, 2015

Registered at 700 N LARRABEE ST, #115, CHICAGO, IL 606547014 (Tel: 2169730552)

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Provider Name / Credentials Updated January 26, 2015

Recorded as ROBERT WOLF, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2015

Dentist (License #019.028496 in IL)

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Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962576967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: January 26, 2015
Sole Proprietor: No

Mailing Address

700 N Larrabee St, #115

Chicago, IL 606547014

Phone: 2169730552

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.