DR. WILLIAM JOHN BLUM (NPI# 1720102882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720102882 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOHN BLUM |
| Credential | DDS |
| Practice Address |
700 24th Ave Sw Norman OK 73069-3946 |
| Practice Telephone | 4053605566 |
| Practice Fax Number | 4053602746 |
| Mailing Telephone | 4053605566 |
| Mailing Fax Number | 4053602746 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4455 | OK | Dental Providers |
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
4455 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013922863 | William G. Blum | Internal Medicine | 1365 Clifton Rd Ne Bldg C, Atlanta, GA 30322-1280 | 2006-07-30 |
| 1699233049 | William Frederic Blum | Specialist/Technologist | 953 Danby Rd, Ithaca, NY 14850-7002 | 2019-03-05 |
| Street Address |
700 24TH AVE SW |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205046828 | Blum & Tinsley PC | Dentist | 700 24th Ave Sw, Norman, OK 73069-3946 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508835414 | Glen D Houston | Dentist | 3509 French Park Dr, Suite D, Edmond, OK 73034-7296 | 2006-03-14 |
| 1710175484 | Donal R Woodward Dds, Inc. | Dentist | 6143 E 91st St, Tulsa, OK 74137-3104 | 2007-10-09 |
| 1932281268 | Oral and Maxillofacial Associates | Dentist | 3727 Nw 63rd St, Suite 300, Oklahoma City, OK 73116-1931 | 2006-10-19 |
| 1528149796 | Scott Searcey | Dentist | 3727 Nw 63rd, #300, Oklahoma City, OK 73116-1931 | 2006-10-17 |
| 1922077361 | Stephen K Young | Dentist | 940 Stanton L Young Blvd, Ste. 451, Oklahoma City, OK 73104-5020 | 2006-03-17 |
| 1760451256 | David M Lewis | Dentist | 940 Stanton L Young Blvd, Ste. 451, Oklahoma City, OK 73104-5020 | 2006-03-16 |
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| 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.