Alan Joseph Blas, DDS
Individual provider Active NPI General Practice Dentistry · Morton Grove, IL
NPI 1346370665 · NPPES record last updated Jun 20, 2013
Key facts
- NPI
- 1346370665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019015651 (IL)
- Practice address
- 8933 Oriole Ave
Alan J Blas DDS
Morton Grove, IL 60053-1853 - Phone
- (847) 657-7997
- Fax
- (847) 657-7987
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 019015651 | IL | MD | General Practice Dentistry |
| 021000990 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019015651 | IL | Yes |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021000990 | IL |
Addresses
Primary practice location
8933 Oriole Ave
Alan J Blas DDS
Morton Grove, IL 60053-1853
Mailing address
8933 Oriole Ave
Alan J Blas DDS
Morton Grove, IL 60053-1853
Phone (847) 657-7997
Other providers in Morton Grove, IL
- James O Bertini
- Bethany Homes and Methodist Hospital
- Sofia Bharucha
- Bridget Billig
- Elizabeth Blanco
- Nancy Blayer
- Andre Blom
- Blossom Orthodontics
- Jaclyn Boehm
- Irina Bolotnikova
All providers in Morton Grove, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2013. 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.