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BLUE DIAMOND FAMILY DENTAL SC
NPI 1245433580
Dentist in Bloomer, WI

Active since June 06, 2007
1502 MAIN ST, BLOOMER, WI 54724(715) 568-2363(715) 568-2373 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Blue Diamond Family Dental Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE DIAMOND FAMILY DENTAL SC (NPI 1245433580) is a healthcare organization registered as a dentist in Bloomer, Wisconsin and active in the NPI registry since June 2007. The organization lists Connie C Parr, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1245433580
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBLUE DIAMOND FAMILY DENTAL SC
Location Address1502 MAIN STBloomer, WI 54724-1686
Mailing Address1502 Main StBloomer, WI 54724-1686 · (715) 568-2363 · Fax (715) 568-2373
Phone(715) 568-2363
Fax(715) 568-2373
Organization SubpartNo
Authorized OfficialConnie C ParrBusiness Manager · (715) 568-2363
Enumeration DateJune 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245433580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
1502 MAIN ST, Bloomer, WI 54724
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Other Identifiers 1

Medicaid38390300WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. GREGORY A MIHM DDS
Dentist
1502 MAIN ST
BLOOMER, WI 54724
Chippewa County (715) 568-2363
MR. THOMAS J RUFLEDT DDS
Dentist
1502 MAIN ST
BLOOMER, WI 54724
Chippewa County (715) 568-2363
MR. CHRISTOPHER DAVID GOETTL
Student in an Organized Health Care Education/Training Program
1502 MAIN ST
BLOOMER, WI 54724
Chippewa County (715) 568-2363
MR. DAVID J IRWIN DDS
Dentist
1502 MAIN ST
BLOOMER, WI 54724
Chippewa County (715) 568-2363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Diamond Family Dental Sc's NPI number?

The NPI number for Blue Diamond Family Dental Sc is 1245433580. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Blue Diamond Family Dental Sc located?

Blue Diamond Family Dental Sc is located at 1502 Main St, Bloomer, WI 54724. The listed phone number is (715) 568-2363.

What is Blue Diamond Family Dental Sc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Blue Diamond Family Dental Sc accept?

Health plans from Security Health Plan list Blue Diamond Family Dental Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue Diamond Family Dental Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.