MEDICARE: DR. JAMES J BLONG DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	297915	WI
2	122300000X	Dentist	2979-015	WI

General Provider Information

NPI Number	:	1114961471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J BLONG DDS

Provider Business Mailing Address
First Line	:	109 VIEW POINT PL
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-2822
Country	:	US
Telephone Number	:	414-881-2447
Fax Number	:

Provider Business Practice Location Address
First Line	:	3670 S 108TH ST STE 200
Second Line	:
City	:	GREENFIELD
State	:	WI
Zip	:	53228-1237
Country	:	US
Telephone Number	:	414-837-5989
Fax Number	:	414-837-5992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	04/24/2025

Similar Medicare Providers

1831175371 — PAUL MARTIN GODICH
Practice Location Address:

3670 S 108TH ST , STE 204
GREENFIELD, WI
53228-1237

Practice Phone: 414-453-1010
Practice Fax: 414-425-4230

1235281270 — DR. BARRY ALBERT DAHLGREN O.D.
Practice Location Address:

3670 S 108TH ST , STE 204
GREENFIELD, WI
53228-1237

Practice Phone: 414-453-1010
Practice Fax: 414-425-4230

1528829405 — PEAK EYE CARE, SC
Practice Location Address:

3670 S 108TH ST STE 204
GREENFIELD, WI
53228-1237

Practice Phone: 414-452-1010
Practice Fax: 414-425-4250

1316948516 — DR. MARK A DAGENAIS OD
Practice Location Address:

3670 S 108TH ST STE 204
MILWAUKEE, WI
53228-1237

Practice Phone: 414-453-1010
Practice Fax: 414-425-4230

1144165911 — LAKESHORE NEUROWELLNESS & REHAB CENTER LLC
Practice Location Address:

10750 W HOWARD AVE
GREENFIELD, WI
53228-1321

Practice Phone: 414-239-6248
Practice Fax:

1992690408 — KATRINA ANNE HARDIN
Practice Location Address:

9000 W SURA LN
GREENFIELD, WI
53228-3477

Practice Phone: 414-246-6800
Practice Fax: 414-246-6405

Directions to “ DR. JAMES J BLONG DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.