Blocki and Bashford Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLOCKI AND BASHFORD DENTAL, LLC

Practice address

200 E. Evergreen, Suite 129
Mt. Prospect, IL 60056

Phone

(847) 259-7560

Fax

(847) 259-0808

NPI assigned

Jan 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Gale Blocki, DDS

Title

Owner

Phone

(847) 259-7560

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russel Lee Skyles, D.D.S.

  • General Practice Dentistry
  • Mt Prospect, IL
  • NPI 1871757807
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1023649829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E. EVERGREEN, SUITE 129",
            "city": "MT. PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-259-7560",
            "fax_number": "847-259-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E. EVERGREEN, SUITE 129",
            "city": "MT. PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-259-7560",
            "fax_number": "847-259-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOCKI AND BASHFORD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "BLOCKI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-259-7560",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bielski, AU.D.
• Samantha Bilharz
• William Dean Billows, PHD HSPP
• Angelica B Blatchford-England
• Grzegorz Blecharz, M.D.
• Bloom Pediatric Therapy, PLLC
• Thomas Paul Bochula, PHARMD
• David J Bohm, DDS
• Regan K Bond, D.P.M.
• Frank Bongiovanni, DPM

• General Practice Dentistry in Mt. Prospect, IL
• Providers in Mt. Prospect, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.