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Justin R Bloom, DMD
Pediatric Dentist in East Windsor, Connecticut
NPI 1235385410

Justin R Bloom is a Pediatric Dentist based in East Windsor, CT and is specialized in Pediatric Dentistry. 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 (Connecticut).

The current practice location address for Justin R Bloom is 137 Prospect Hill Rd, East Windsor, CT and can be reached out via phone at 860-254-5840.

Location: 137 Prospect Hill Rd, East Windsor, CT, 06088-0806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235385410
Provider Name
Justin R Bloom
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
137 Prospect Hill Rd, East Windsor, CT, 06088-0806
Phone Number
860-254-5840
Fax Number
Provider Enumeration Date
08/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
137 Prospect Hill Rd
City
East Windsor
State
Connecticut
Zip
06088-3602
Phone Number
860-254-5840
Fax Number
person
Provider Business Mailing Address Details
Address
137 Prospect Hill Rd
City
East Windsor
State
Connecticut
Zip
06088-3602
Phone Number
860-254-5840
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
010228 (Connecticut)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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