Doctor profile · Federal record
Dr. NEZAR KASSEM, D.D.S.
General Practice Dentistry · Dentist · BLOOMINGTON, IL
- NPI 1700975653
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
109 N WILLIAMSBURG DR
BLOOMINGTON, IL 617043528
(309) 662-3123
fax (309) 661-0798 - Mailing address
-
1314 RIDGEFIELD DR
MAHOMET, IL 618537629
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- February 21, 2025
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Illinois #019025115
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700975653. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 1 | $26.63 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
52
Patients
28
Total drug cost
$167
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 36 | 28 | $103 |
| Penicillin V Potassium | Generic | 16 | 0 | $64 |