DR. NEIL MARK BLUMENTHAL (NPI# 1821040239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821040239 |
| Entity Type | Individual |
| Full Name | DR. NEIL MARK BLUMENTHAL |
| Credential | D.D.S., M.S. |
| Practice Address |
17926 Halsted St Suite 3nw Homewood IL 60430-2029 |
| Practice Telephone | 7087980714 |
| Practice Fax Number | 7087984487 |
| Mailing Telephone | 7087980714 |
| Mailing Fax Number | 7087984487 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265489215 | Neil C Blumenthal | Obstetrics & Gynecology | 2300 Highland Ave, Bethlehem, PA 18020-8920 | 2006-05-27 |
| Street Address |
17926 HALSTED ST SUITE 3NW |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073730446 | David D. Dunagan | Dentist | 17926 Halsted St, 3-sw, Homewood, IL 60430-2029 | 2007-04-19 |
| 1811087828 | Ronald James Romac | Dentist | 17926 Halsted St, Suite3sw, Homewood, IL 60430-2029 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710922752 | Devang Tulsidas Thakkar | Dentist | 18130 Halsted St, Homewood, IL 60430-2507 | 2006-06-16 |
| 1861986622 | Southern Periodontics II, P.C. | Dentist | 1023 Oxmoor Rd, Homewood, AL 35209-5317 | 2018-06-15 |
| 1417183369 | The Dental Specialists | Dentist | 18213 Dixie Hwy, Homewood, IL 60430-2205 | 2009-06-05 |
| 1528256534 | Amarik Singh | Dentist | 18130 Halsted St, Homewood, IL 60430-2507 | 2007-10-04 |
| 1407044415 | Donald A. Miller | Dentist | 18130 Halsted St, Homewood, IL 60430-2507 | 2007-10-04 |
| 1801083423 | John F. Moore | Dentist | 18130 Halsted St, Homewood, IL 60430-2507 | 2007-09-27 |
| 1992992549 | John A. Pyle | Dentist | 18130 Halsted St, Homewood, IL 60430-2507 | 2007-09-27 |
| 1346449162 | Michael Sean Slavin | Dentist | 18130 Halsted St, Homewood, IL 60430-2507 | 2007-07-12 |
| 1013075480 | Endodontic & Periodontic Associates, Ltd | Dentist | 18130 Halsted St, Homewood, IL 60430-2507 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309399 | Dominik Dubravec Dds Mmsc PC | Dentist | 555 W Court St Ste 202, Kankakee, IL 60901-3674 | 2020-09-02 |
| 1598374167 | Dubravec Periodontal Specialists PC | Dentist | 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186 | 2020-07-29 |
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1083192389 | Amirreza Ghassemi | Dentist | 2800 College Ave Bldg 285, Alton, IL 62002-4742 | 2018-07-30 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1043750714 | Bloomingdale Dental Rez, PC | Dentist | 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108-2916 | 2017-03-01 |
| 1114398831 | Dubravec Periodontal Associates, PC | Dentist | 1900 Spring Rd, Suite 205, Oak Brook, IL 60523-1447 | 2015-10-08 |
| 1689059297 | Amer Atassi | Dentist | 6224 S Elm St, Burr Ridge, IL 60527-5228 | 2015-07-24 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1215345939 | Mark Kolozenski, Dds, Ms, PC | Dentist | 10083 W Lincoln Hwy, Frankfort, IL 60423-1272 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
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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.