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Active NPI 1568148138 Individual Practitioner Male Practitioner

Dr. Devon James Blob , DDS

Dentist - General Practice • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Devon Blob, DDS is a registered healthcare professional specializing in Dentist - General Practice in Appleton, WI. Practice services are available at 2563 E CALUMET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2563 E Calumet St

Appleton, WI 549154748

Telephone 9207316416
Associated Practice Facility / Clinic
🏢 Daniel J. Johanek D.d.s.s.c. Facility NPI 1972526325

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
86 Specialists

Practicing in Appleton, WI (2459 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

CMS Verified: 2024-12-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 600150815

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
Dr. Daniel Johanek , DDS

Dentist - General Practice

NPI 1821356296

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 20, 2024

Registered at 2563 E CALUMET ST, APPLETON, WI 549154748 (Tel: 9207316416)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2024

Dentist (License #600150815 in WI)

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2023

Registered at 1550 WHITE BEAR AVE N, SAINT PAUL, MN 551061602 (Tel: 6517887045)

📍
Updated Business Mailing Address June 27, 2023

Registered at N9305 NOE RD, APPLETON, WI 549155653

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as DEVON BLOB, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 27, 2023

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: 1568148138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: December 20, 2024
Sole Proprietor: No

Mailing Address

N9305 Noe Rd

Appleton, WI 549155653

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.