Bruce E Unterman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

519 N Plum St
Pontiac, IL 61764-1818

Phone

(815) 844-6184

Fax

(815) 844-1071

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Dentists, PC

  • General Practice Dentistry
  • Pontiac, IL
  • NPI 1619946878
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467539734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S LOCUST ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617642633",
            "telephone_number": "815-844-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N PLUM ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641818",
            "telephone_number": "815-844-6184",
            "fax_number": "815-844-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERMAN",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadah Tlemat, DDS
• Barbara J Todd, RD LDN CDE
• Bethany N. Toth, CRNA
• Lindsey Trainor
• Anne Kathleen Trost, PTA
• Valerie Valenciano
• Robert Edward Van Meter
• Danielle Vanderveen
• Joseph Vaughan, LCSW
• Kenneth Velez, MD

• General Practice Dentistry in Pontiac, IL
• Providers in Pontiac, 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 Jul 8, 2007; 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.