Individual provider · Type 1 NPI

Robert Owen Wolf, DDS

Dentist · Bloomington, IL

NPI number 1962576967 Active

Practice location

107 S Prospect Rd
Bloomington, IL 61704-4403

Mailing address

700 N Larrabee St, #115
Chicago, IL 60654-7014

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X30-019566 (OH)
Dentist Primary 122300000X019.028496 (IL)

Dentist: 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 requiremen…

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About NPI 1962576967

Robert Owen Wolf, DDS's National Provider Identifier is 1962576967, issued on Nov 20, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bloomington, IL. The record was last updated on Jan 26, 2015.