DR. DAVID ALAN BLOOM (NPI# 1205048584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205048584 |
| Entity Type | Individual |
| Full Name | DR. DAVID ALAN BLOOM |
| Credential | DDS, MS |
| Practice Address |
2910 Orchard Pl Orchard Lake MI 48324-2356 |
| Practice Telephone | 2486135554 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DB010636 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417234782 | David Bloom | Pharmacist | 3020 Warbler Pl, Highland Park, IL 60035-1267 | 2011-11-14 |
| 1417261785 | David Bloom | Surgery | 136 Beach 117th St, #513, Rockaway Park, NY 11694-2079 | 2010-07-29 |
| 1316073901 | David L Bloom | Radiology | 600 Federal St, Andover, MA 01810-1039 | 2007-02-26 |
| 1104874759 | David Isaac Bloom | Internal Medicine | 5350 W Atlantic Ave, Ste 100, Delray Beach, FL 33484-8112 | 2006-05-05 |
| 1215996038 | David Charles Bloom | Otolaryngology | 2121 Ne 139th Street, Suite 245, Vancouver, WA 98686 | 2006-03-21 |
| 1356344683 | David Marshall Bloom | Internal Medicine | 2841 Lomita Blvd, Suite 215, Torrance, CA 90505-5116 | 2005-05-31 |
| 1598129850 | David Louis Bloom | Pediatrics | 1 Childrens Place Cb 8116, Saint Louis, MO 63110 | 2016-04-12 |
| 1336468461 | David A Bloom | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2010-05-28 |
| 1659582419 | David I. Bloom Jr. | Dentist | 1060 Day Hill Rd, Windsor, CT 06095-5719 | 2007-05-24 |
| 1417005737 | David R Bloom | Family Medicine | 17822 Beach Blvd, #325, Huntington Beach, CA 92647 | 2007-01-05 |
| Street Address |
2910 ORCHARD PL |
| City | ORCHARD LAKE |
| State | MI |
| Zip Code | 48324-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325293 | Sparr Nutrition Services LLC | Dietitian, Registered | 1957 Midchester Drive, Westbloomfield, MI 48324 | 2017-09-18 |
| 1700308632 | Jennifer Dulchavsky | Counselor | 3538 Winterberry, West Bloomfield, MI 48324 | 2017-07-12 |
| 1659641645 | Neogenomics Laboratories Inc | Pathology | 6455 Mission, West Bloomfield, MI 48324 | 2012-01-06 |
| 1538495551 | Joseph S. Dulka | Psychiatry & Neurology | 3573 Elder Rd S., West Bloomfield, MI 48324 | 2009-10-27 |
| 1700041928 | Allan Jay Levine | Pathology | 2268 Forest Glen Dr, West Bloomfield, MI 48324 | 2008-07-28 |
| 1952561706 | Deepika Aggarwal | Dentist | 6259 Willow Ct, West Bloomfield, MI 48324 | 2008-06-16 |
| 1366627358 | Tatyana Kuzminsky | Nutritionist | 2486 Island View Dr, West Bloomfield, MI 48324 | 2008-01-08 |
| 1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
| 1629072038 | Alfonso Acosta | Family Medicine | 7173 Ilanaway Dr, West Bloomfield, MI 48324 | 2005-06-13 |
| 1942441142 | Patricia L Denham | Social Worker | 1916 Henbert Rd, West Bloomfield, MI 48324-1036 | 2009-03-18 |
| Find all providers in zip 48324 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080414 | Shawn J Kim | Dentist | 425 E Washington St Apt 811, Ann Arbor, MI 48104-2060 | 2020-07-08 |
| 1760008528 | Great Lakes Oral and Maxillofacial Surgery P.C. | Dentist | 2325 Summit Park Dr Ste D, Petoskey, MI 49770-8774 | 2020-06-17 |
| 1962969634 | Garfield Road Dental - 1 | Dentist | 41781 Garfield Rd, Clinton Township, MI 48038-1964 | 2019-02-28 |
| 1477903904 | Abed Yakan | Dentist | 2700 Martin Luther King Jr. Blvd., 358, Detroit, MI 48208-2576 | 2016-06-15 |
| 1811378508 | Christopher Niquette | Dentist | 2119 64th Street Sw, Byron Center, MI 49315-4931 | 2015-06-18 |
| 1528446069 | Douglas David Orzel | Dentist | 9021 N Rodgers Ct Se Ste A, Caledonia, MI 49316-7650 | 2015-05-17 |
| 1013321165 | Raymond James Hanna | Dentist | 3766 Elder Rd S, West Bloomfield, MI 48324-2534 | 2014-06-17 |
| 1831536861 | Claude Charles Lerose Jr. | Dentist | 20675 Mack Ave, Grosse Pointe Woods, MI 48236 | 2013-05-31 |
| 1821433566 | Curtis Cardon | Dentist | 5957 Harvey St Ste 200, Norton Shores, MI 49444-9737 | 2013-05-08 |
| 1043568694 | Nick Leone Dds PC | Dentist | 28018 Harper Ave., St. Clair Shores, MI 48081-1562 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD LAKE |
| Zip Code | 48324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.