GERARD X BLAISE


Address: 4601 State St, Ste 300, East Saint Louis, IL 62205-1359
Phone: 6182710224

GERARD X BLAISE (NPI# 1558344986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558344986
Entity Type Individual
Full Name GERARD X BLAISE
Credential DDS
Practice Address 4601 State St
Ste 300
East Saint Louis
IL 62205-1359
Practice Telephone 6182710224
Mailing Telephone 6182710224
Enumeration Date 2005-11-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
IL Dental Providers

Office Location

Street Address 4601 STATE ST
STE 300
City EAST SAINT LOUIS
State IL
Zip Code 62205-1359

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013269737 Illinois Express Home Care In Home Supportive Care 4601 State St, East Saint Louis, IL 62205-1359 2012-10-04
1427227891 Comprehensive Mental Health Center of St. Clair County, Inc. Community/Behavioral Health 4601 State St, East Saint Louis, IL 62205-1359 2008-02-29
1801065289 Comprehensive Mental Health Center of St. Clair County, Inc. Community/Behavioral Health 4601 State St, East Saint Louis, IL 62205-1359 2008-02-29
1437328812 Comprehensive Mental Health Center of St. Clair County, Inc. Clinic/Center 4601 State St, East Saint Louis, IL 62205-1359 2008-02-29
1730358110 Comprehensive Mental Health Center of St. Clair County, Inc. Community/Behavioral Health 4601 State St, East Saint Louis, IL 62205-1359 2008-02-29
1255453718 Howard Franklin Jackson Podiatrist 4601 State St, Suite 310, East Saint Louis, IL 62205-1359 2007-04-04
1306853676 Marshall Katzman Psychiatry & Neurology 4601 State St, East Saint Louis, IL 62205-1359 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790156610 Lessie Bates Davis Neighborhood House Registered Nurse 1200 North 13th Street, East Saint Louis, IL 62205 2015-10-19
1114047859 Herschel Lee Garrett Jr. Dentist 4020 Caseyville Ave, East St Louis, IL 62205 2007-03-29
1376871103 Toni M. Jackson Massage Therapist 4806 State St, Home Office, East Saint Louis, IL 62205-1355 2009-12-07
1811347362 Destinee Hope Grove Specialist/Technologist 4901 State St, East Saint Louis, IL 62205-1356 2016-06-15
1053963470 Stephanie Michelle Tate-patterson Nurse Practitioner 4901 State St, East Saint Louis, IL 62205-1356 2019-07-16
1710406962 Christa R Dyson-spiller Nurse Practitioner 4901 State St, East Saint Louis, IL 62205-1356 2017-09-19
1740247360 Dolores J Gunn Family Medicine 2001 State St, East Saint Louis, IL 62205-1803 2006-04-27
1184845257 Rina S. Patney Pediatrics 2001 State St, East Saint Louis, IL 62205-1803 2007-05-02
1811054935 Southern Illinois Healthcare Foundation, Inc. Family Medicine 2001 State St, East Saint Louis, IL 62205-1803 2007-01-02
1245396886 Southern Illinois Healthcare Foundation, Inc. Family Medicine 2001 State St, East Saint Louis, IL 62205-1803 2006-12-28
Find all providers in zip 62205

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043531627 Sreekanth Kanagarla Dentist 2614 State St, East Saint Louis, IL 62205-2325 2010-06-17
1740305515 Carla Renee Lewis Dentist 3129 State St, East Saint Louis, IL 62205-2203 2007-03-20
1730797119 Jarvis B Owens Dentist 2608 State St, East Saint Louis, IL 62205-2325 2020-07-21
1174131320 Sara Ahmad Dentist 2608 State St, East Saint Louis, IL 62205-2325 2020-07-14
1073153110 Noopur P Shah Dentist 2608 State St, East Saint Louis, IL 62205-2325 2020-01-07
1780930701 Kristen Frommeyer Thompson Dentist 2608 State St, East Saint Louis, IL 62205-2325 2012-07-27
1801151063 Familia Dental Esl 4 LLC Dentist 2608 State St, East Saint Louis, IL 62205-2325 2012-07-12
1013283126 Familia Dental Esl 4llc Dentist 2608 State St, East Saint Louis, IL 62205-2325 2012-03-23
1114205929 Maryana F Kirolos Dentist 2608 State St, East Saint Louis, IL 62205-2325 2011-07-27
1962792747 Familia Dental Esl LLC Dentist 2608 State St, East Saint Louis, IL 62205-2325 2011-04-13
Find all providers in EAST SAINT LOUIS

Competitor

Search similar providers

City EAST SAINT LOUIS
Zip Code 62205

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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