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Active NPI 1164564316 Organization (Entity Type 2)

Robert E. Blew

Clinic/Center - Dental • Moline, IL

About Robert E. Blew NPI 1164564316 Summary

Robert E. Blew is a verified healthcare organization specializing in Clinic/Center - Dental operating in Moline, IL. Located at 604 35TH AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1164564316.

Administrative operations and authorized compliance are overseen by Robert Blew (Partner).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

604 35th Ave

Moline, IL 612656174

Telephone 3097974336

Authorized Official Information

Authorized Contact Name

DR. Robert Blew , DDS

Title / Role

Partner

Official Telephone

3097974336

Facility Classifications & Specialties

Clinic/Center - Dental Primary Taxonomy

NUCC Taxonomy Code: 261QD0000X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Dr. Daniel Hogan , DDS NPI 1114021425

Dentist - Periodontics

Moline, IL

View Practitioner Profile →

Dr. Bryan Blew , DDS NPI 1568585164

Dentist

Moline, IL

View Practitioner Profile →

Dr. Robert Blew , DDS NPI 1992847123

Dentist - General Practice

Moline, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 604 35TH AVE, MOLINE, IL 612656174 (Tel: 3097974336)

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Updated Business Mailing Address July 08, 2007

Registered at 604 35TH AVE, MOLINE, IL 612656174 (Tel: 3097974336)

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Organization / Clinic Name Updated July 08, 2007

Operating as ROBERT E. BLEW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinic/Center (License #19A14799 in IL)

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Initial NPI Registration & Enumeration February 13, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1164564316

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: February 13, 2007

Last Update: August 22, 2020

Update or Correct Listing

Mailing Address

604 35th Ave

Moline, IL 612656174

Phone: 3097974336

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.