Active NPIIndividual provider

Dr. David I Bloom Jr., DDS

Dentist, General Practice in Windsor, Connecticut

NPI Number1659582419
Practice location
1060 Day Hill RD, Windsor, CT 06095-5719
Fax
860-688-7403
Last updated
July 8, 2007

David I. Bloom is a Dentist, General Practice based in Windsor, CT. David I. Bloom practices in Windsor, CT and has the professional credentials of DDS. The NPI Number for David I. Bloom is 1659582419 and holds a License No. 005026 (CT). The current practice location address for David I. Bloom is 1060 Day Hill RD, Windsor, CT 06095-5719 and can be reached out via phone at 860-688-5595 and via fax at 860-688-7403.

Provider Profile Details

NPI Number
1659582419
Provider Name
David I. Bloom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1060 Day Hill RD, Windsor, CT 06095-5719
Phone Number
860-688-5595
Fax Number
860-688-7403
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1060 Day Hill RD
Windsor, CT 06095-5719
Zip
06095-5719
Phone Number
860-688-5595
Fax Number
860-688-7403
Windsor, CT 06095Get directions →

Provider Business Mailing Address Details

Address
1060 Day Hill RD
Windsor, CT 06095-5719
City
Windsor
State
CT
Zip
06095-5719
Phone Number
860-688-5595
Fax Number
860-688-7403

License Information

License Number
005026
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. David I Bloom Jr., DDS?

The NPI number of Dr. David I Bloom Jr., DDS is 1659582419. It was assigned on May 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. David I Bloom Jr., DDS?

Dr. David I Bloom Jr., DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 005026.

Where does Dr. David I Bloom Jr., DDS practice?

The practice location is 1060 Day Hill RD, Windsor, CT 06095-5719. The office can be reached at 860-688-5595 (phone) or 860-688-7403 (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 1659582419 directly on the NPPES registry website.

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