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DR. ROBERT OWEN WOLF DDS
NPI 1962576967
Dentist in Bloomington, IL

Active since November 20, 2006
107 S PROSPECT RD, BLOOMINGTON, IL 61704(309) 663-0433 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Owen Wolf Dds NPPES

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

DR. ROBERT OWEN WOLF DDS (NPI 1962576967) is an individual dentist in Bloomington, Illinois, licensed in Illinois (019.028496) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1962576967
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROBERT OWEN WOLFCredential: DDS
Location Address107 S PROSPECT RDBloomington, IL 61704-4403
Mailing Address700 N Larrabee St, #115Chicago, IL 60654-7014 · (216) 973-0552
Phone(309) 663-0433
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJanuary 26, 2015
✔ NPI 1962576967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.028496
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30-019566 (OH)
107 S PROSPECT RD, Bloomington, IL 61704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Renaissance Dental.Insurance ›

Other Providers at the Same Location NPPES 3

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

BROCK GARDNER
Dentist (Dental Public Health)
107 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 808-6263
MAPLE SHADE DENTAL BLOOMINGTON LLC
Dentist
107 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-0433
DR. CLINT BOYLE DMD
Dentist
107 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-0433

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 Wolf's NPI number?

The NPI number for Robert Wolf is 1962576967. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Robert Wolf located?

Robert Wolf practices at 107 S Prospect Rd, Bloomington, IL 61704. The listed phone number is (309) 663-0433.

What is Robert Wolf's specialty?

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

What insurance does Robert Wolf accept?

Health plans from Renaissance Dental list Robert Wolf 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 Robert Wolf was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.