Justin R. Bloom, DMD
Pediatric Dentistry · East Windsor, CT
UnclaimedDMDNPI 1235385410
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2008-08-07
- Practice location
- East Windsor, CT
- Last NPPES update
- 2012-01-23
State licenses
- CT · Dentist · NPPES self-reportedListed on NPI record
- CT · Dentist · DentistActivethrough 2027
- PA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.