DR. ROBERT MARK BLAZEKOVICH DDS
NPI 1548249907
Dentist in Deerfield, IL

Q: What is Robert Blazekovich's NPI number?

The NPI number for Robert Blazekovich is 1548249907. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Q: What is Robert Blazekovich's specialty?

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

Active since January 13, 2006

775 WAUKEGAN RD, SUITE 200, DEERFIELD, IL 60015(800) 317-0711(800) 434-7113 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Robert Mark Blazekovich Dds NPPES

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

DR. ROBERT MARK BLAZEKOVICH DDS (NPI 1548249907) is an individual dentist in Deerfield, Illinois, licensed in Indiana (12009213A) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1548249907

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. ROBERT MARK BLAZEKOVICHCredential: DDS

Location Address775 WAUKEGAN RD, SUITE 200Deerfield, IL 60015-4342

Mailing Address3655 Forest CtMarion, IN 46952-9703 · (765) 384-7845

Phone(800) 317-0711

Fax(800) 434-7113

Sole ProprietorYes

Enumeration DateJanuary 13, 2006

Last NPPES UpdateMay 19, 2008

✔ NPI 1548249907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12009213A

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.

775 WAUKEGAN RD, Deerfield, IL 60015

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Other Identifiers 1

Medicaid200245610IN

Other Providers at the Same Location NPPES 15

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

DR. MICHAEL WAYNE HAMMER OD

Optometrist

775 WAUKEGAN RD, SUITE 200
DEERFIELD, IL 60015

Lake County (800) 317-0711

ANN E. CLIFTON AU.D., CCC-A

Audiologist

775 WAUKEGAN RD, SUITE 200
DEERFIELD, IL 60015

Lake County (847) 580-5954

DR. DARYL KINSHASA JENKINS D.P.M.

Podiatrist

775 WAUKEGAN RD, SUITE 200
DEERFIELD, IL 60015

Lake County (800) 317-0711

EJ VISION, INC.

Technician/Technologist (Optician)

775 WAUKEGAN RD, SUITE 170
DEERFIELD, IL 60015

Lake County (847) 607-9225

ERIC BEATTY DPM

Podiatrist

775 WAUKEGAN RD, SUITE 200
DEERFIELD, IL 60015

Lake County (800) 317-0711

CARA ELAINE GRAHAM AU.D

Audiologist

775 WAUKEGAN RD, SUITE 200
DEERFIELD, IL 60015

Lake County (800) 317-0711

DR. DAVID N PHILLIPS OD

Optometrist

775 WAUKEGAN RD, SUITE 200
DEERFIELD, IL 60015

Lake County (800) 317-0711

DR. JASON JOHN JERISHA DPM

Podiatrist

775 WAUKEGAN RD, SUITE 200
DEERFIELD, IL 60015

Lake County (800) 317-0711

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 Robert Blazekovich's NPI number?

The NPI number for Robert Blazekovich is 1548249907. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Robert Blazekovich located?

Robert Blazekovich practices at 775 Waukegan Rd Suite 200, Deerfield, IL 60015. The listed phone number is (800) 317-0711.

What is Robert Blazekovich's specialty?

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

When was this NPI record last updated?

The NPPES record for Robert Blazekovich was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.