Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES HENRY BLOOM, D.M.D.
ActiveDR. CHARLES HENRY BLOOM, D.M.D. is a Pediatric Dentistry healthcare provider located in NEW BRUNSWICK, New Jersey. NPI 1174731954 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · NEW BRUNSWICK, NJ
Registration Details
- NPI Number
- 1174731954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2007 (19.223897801456 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22DI01554800 (NJ)
Practice Information
- Address
-
815 LIVINGSTON AVENEW BRUNSWICK, NJ, 089013344Browse NJ providers · Browse ZIP 08901
- Phone
- 7322496386
- Fax
- 7322496283
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.