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SMILES IN BLOOM PEDIATRIC DENTSITRY NPI 1346623600


NPI Information

NPI: 1346623600
Provider Name: SMILES IN BLOOM PEDIATRIC DENTSITRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
137 PROSPECT HILL RD
EAST WINDSOR, CT
ZIP 06088
Phone: (860) 254-5840
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SMILES IN BLOOM PEDIATRIC DENTSITRY is a pediatric dentistry dentist in East Windsor, CT. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SMILES IN BLOOM PEDIATRIC DENTSITRY NPI is 1346623600. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

137 PROSPECT HILL RD
EAST WINDSOR, CT
ZIP 06088-602
Phone: (860) 254-5840
Fax: (860) 254-5830

The provider's authorized official is Justin Ryan Bloom .
The authorized official title is Owner and has the following contact phone number (860) 254-5840.

The enumeration date for this NPI number is 7/6/2015 and was last updated on 7/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry010228CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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