Active NPIOrganization

Smiles In Bloom Pediatric Dentsitry

Dentist, Pediatric Dentistry in East Windsor, Connecticut

NPI Number1346623600
Practice location
137 Prospect Hill RD, East Windsor, CT 06088-3602
Fax
860-254-5830
Last updated
July 6, 2015

Smiles In Bloom Pediatric Dentsitry is a healthcare organization based in East Windsor, CT. Smiles In Bloom Pediatric Dentsitry practices in East Windsor, CT. The NPI Number for Smiles In Bloom Pediatric Dentsitry is 1346623600 and holds a License No. 010228 (CT). The current practice location address for Smiles In Bloom Pediatric Dentsitry is 137 Prospect Hill RD, East Windsor, CT 06088-3602 and can be reached out via phone at 860-254-5840 and via fax at 860-254-5830.

Provider Profile Details

NPI Number
1346623600
Provider Name
Smiles In Bloom Pediatric Dentsitry
Provider Entity Type
Organization
Address
137 Prospect Hill RD, East Windsor, CT 06088-3602
Phone Number
860-254-5840
Fax Number
860-254-5830
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Mr. Justin Ryan Bloom, DMD · Owner · 860-254-5840
Provider Enumeration Date
July 6, 2015
Last Update Date
July 6, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
137 Prospect Hill RD
East Windsor, CT 06088-3602
Zip
06088-3602
Phone Number
860-254-5840
Fax Number
860-254-5830
East Windsor, CT 06088Get directions →

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
Fax Number
860-254-5830

License Information

License Number
010228
License State
CT
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Smiles In Bloom Pediatric Dentsitry?

The NPI number of Smiles In Bloom Pediatric Dentsitry is 1346623600. It was assigned on July 6, 2015 and is currently active in the NPPES registry.

What is the specialty of Smiles In Bloom Pediatric Dentsitry?

Smiles In Bloom Pediatric Dentsitry is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 010228.

Where does Smiles In Bloom Pediatric Dentsitry practice?

The practice location is 137 Prospect Hill RD, East Windsor, CT 06088-3602. The office can be reached at 860-254-5840 (phone) or 860-254-5830 (fax).

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 1346623600 directly on the NPPES registry website.

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