Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE A NIEBLOOM, DMD
ActiveDR. THEODORE A NIEBLOOM, DMD is a Oral & Maxillofacial Surgery healthcare provider located in WEST ORANGE, New Jersey. NPI 1689750705 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WEST ORANGE, NJ
Registration Details
- NPI Number
- 1689750705
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.749315502392 yrs)
- Last Updated
- Oct 5, 2016
- License
-
22DI01604200 (NJ)
Practice Information
- Address
-
101 OLD SHORT HILLS ROADWEST ORANGE, NJ, 07052Browse NJ providers · Browse ZIP 07052
- Phone
- 9737367616
- Fax
- 9733253487
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in WEST ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JOEL M DONER | DDS | 1427159862 |
| DR. HENRY J FALK | DDS | 1497831515 |
| DR. CYRUS J AMATO | D.D.S. | 1215013339 |
| JOHN PAUL AMATO | DDS, MD | 1457487407 |
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.