Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Robert Owen Wolf, DDS

Individual provider General Practice Dentistry · NPI 1962576967

Dr. Robert Owen Wolf, DDS is a General Practice Dentistry in Bloomington, Illinois. Licensed in Illinois and Ohio. Registered with an NPI since 2006.

Licensed in
IL, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

107 S Prospect Rd
Bloomington, IL 61704-4403
Phone: (309) 663-0433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.028496 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30-019566 (OH)

Record details

NPI number1962576967
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJanuary 26, 2015
Mailing address700 N Larrabee St, 115, Chicago, IL 60654-7014

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