Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN R BLOOM, DMD
ActiveJUSTIN R BLOOM, DMD is a Pediatric Dentistry healthcare provider located in EAST WINDSOR, Connecticut. NPI 1235385410 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · EAST WINDSOR, CT
Registration Details
- NPI Number
- 1235385410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2008 (18.036297151505 yrs)
- Last Updated
- Jan 23, 2012
- Licenses
-
010228 (CT)DS037518 (PA)
Practice Information
- Address
-
137 PROSPECT HILL RDSUITE CEAST WINDSOR, CT, 060883602Browse CT providers · Browse ZIP 06088
- Phone
- 8602545840
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
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.