DR. NEZAR AHMED KASSEM D.D.S.
NPI 1700975653
Dentist - General Practice in Bloomington, IL

Active since October 11, 2006
109 N WILLIAMSBURG DR, BLOOMINGTON, IL 61704(309) 662-3123(309) 661-0798 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nezar Ahmed Kassem D.d.s. NPPES

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

DR. NEZAR AHMED KASSEM D.D.S. (NPI 1700975653) is an individual general practice provider in Bloomington, Illinois, licensed in Illinois (019025115) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1700975653
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NEZAR AHMED KASSEMCredential: D.D.S.
Location Address109 N WILLIAMSBURG DRBloomington, IL 61704-3528
Mailing Address1314 Ridgefield DrMahomet, IL 61853-7629 · (217) 417-6683
Fax(309) 661-0798
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
NPI 1700975653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019025115
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 019025115 (IL)
109 N WILLIAMSBURG DR, Bloomington, IL 61704

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist
109 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704
Dentist
109 N WILLIAMSBURG DR
BLOOMINGTON, IL 61704

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 Nezar Kassem's NPI number?

The NPI number for Nezar Kassem is 1700975653. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Nezar Kassem located?

Nezar Kassem practices at 109 N Williamsburg Dr, Bloomington, IL 61704. The listed phone number is (309) 662-3123.

What is Nezar Kassem's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nezar Kassem accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Nezar Kassem 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 Nezar Kassem was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.