Justin R Bloom, DMD
Dentist, Pediatric Dentistry in East Windsor, Connecticut
1235385410- Practice location
- 137 Prospect Hill RD, Suite C, East Windsor, CT 06088-3602
- Phone
- 860-254-5840
- Fax
- —
- Last updated
- January 23, 2012
Justin R Bloom is a Dentist, Pediatric Dentistry based in East Windsor, CT. Justin R Bloom practices in East Windsor, CT and has the professional credentials of DMD. The NPI Number for Justin R Bloom is 1235385410 and holds a License No. 010228 (CT). The current practice location address for Justin R Bloom is 137 Prospect Hill RD, Suite C, East Windsor, CT 06088-3602 and can be reached out via phone at 860-254-5840.
Provider Profile Details
- NPI Number
- 1235385410
- Provider Name
- Justin R Bloom
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 137 Prospect Hill RD, Suite C, East Windsor, CT 06088-3602
- Phone Number
- 860-254-5840
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2008
- Last Update Date
- January 23, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 137 Prospect Hill RD
Suite C
East Windsor, CT 06088-3602 - City
- East Windsor
- State
- Connecticut
- Zip
- 06088-3602
- Phone Number
- 860-254-5840
Provider Business Mailing Address Details
- Address
- Po Box 806
East Windsor, CT 06088-0806 - City
- East Windsor
- State
- CT
- Zip
- 06088-0806
- Phone Number
- 860-254-5840
License Information
- License Number (1)
- 010228
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
- License Number (2)
- DS037518
- License State (2)
- PA
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near East Windsor, CT
View all Dentist, Pediatric Dentistry providers in East Windsor →- Erin MasisonDentist, Pediatric Dentistry · NPI 1922685577
- Smiles In Bloom Pediatric DentsitryDentist, Pediatric Dentistry · NPI 1346623600
- Sarah B Crawford, PSYDPsychologist, Clinical Child & Adolescent · NPI 1467614669
- Mrs. Joan A BuchananLicensed Vocational Nurse · NPI 1740863067
- Dr. Megan A Mcnabb, DMDDentist · NPI 1073402939
- Dr. Michael R Crawford, DCChiropractor · NPI 1326087891
Frequently Asked Questions
What is the NPI number of Justin R Bloom, DMD?
The NPI number of Justin R Bloom, DMD is 1235385410. It was assigned on August 7, 2008 and is currently active in the NPPES registry.
What is the specialty of Justin R Bloom, DMD?
Justin R Bloom, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 010228.
Where does Justin R Bloom, DMD practice?
The practice location is 137 Prospect Hill RD, Suite C, East Windsor, CT 06088-3602. The office can be reached at 860-254-5840 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235385410 directly on the NPPES registry website.