Julie A Bloy, DDS
Individual provider Active NPI General Practice Dentistry · Jackson, WI
NPI 1043364144 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043364144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4260-015 (WI)
- Practice address
- W213N16755 Glen Brooke Dr
Jackson, WI 53037-9489 - Phone
- (262) 677-4990
- Fax
- (262) 677-9280
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4260-015 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloy Family Dentistry LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4260-015 | WI | Yes |
Addresses
Primary practice location
W213N16755 Glen Brooke Dr
Jackson, WI 53037-9489
Mailing address
W213N16755 Glen Brooke Dr
PO Box 37
Jackson, WI 53037-9489
Phone (262) 677-4990
Other providers in Jackson, WI
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Zhaleh Barari
- Megan Noelle Bartos
- Bloy Family Dentistry LLC
- Staci Ann Bohling
- Lauren Brandt
- Christine Natalie Bruno
- Mary Burke
- Andrew Francis Charland
All providers in Jackson, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.