BLOOM PEDIATRIC DENTISTRY, PLLC (NPI# 1578061925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578061925 |
| Entity Type | Organization |
| Organization Name | BLOOM PEDIATRIC DENTISTRY, PLLC |
| Other Organization Name | BLOOM PEDIATRIC DENTISTRY |
| Practice Address |
1900 W Germann Rd Ste 3 Chandler AZ 85286-6838 |
| Practice Telephone | 4808677355 |
| Practice Fax Number | 4809071888 |
| Mailing Telephone | 4808677355 |
| Mailing Fax Number | 4809071888 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | DR. JANELLE UNHAE LEE (PEDIATRIC DENTIST/ OWNER) |
| Authorized Official Telephone | 4808677355 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D009485 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 154524 | 05 |
| Other Name | Type Code |
|---|---|
| Bloom Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
1900 W GERMANN RD STE 3 |
| City | CHANDLER |
| State | AZ |
| Zip Code | 85286-6838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780202804 | Cep America- Arizona, PC | Emergency Medicine | 1405 S. Alma School Rd., Chandler, AZ 85286 | 2020-07-07 |
| 1972139004 | Banner Health | General Acute Care Hospital | 1405 S Alma School Rd, Chandler, AZ 85286 | 2020-03-20 |
| 1033776455 | Premier Orthodontic Specialists Pllc | Dentist | 3230 S. Gilbert Rd. Ste. 1, Chandler, AZ 85286 | 2019-05-21 |
| 1871056978 | Erica Satoko Sugiyama-hill | Counselor | 3042 West Queen Creek Rd, Chandler, AZ 85286 | 2019-04-08 |
| 1235693169 | Shumway Dental Care Pllc | Dentist | 3150 S. Gilbert Road Suite 1, Chandler, AZ 85286 | 2019-01-24 |
| 1568968287 | Reita Jenae Juarez | Counselor | 3042 W Queen Creek Road, Chandler, AZ 85286 | 2018-04-02 |
| 1205348984 | Seriously Speaking, LLC. | Speech-Language Pathologist | 650 E. Woodsman Place, Chandler, AZ 85286 | 2017-11-02 |
| 1689194920 | Kyle D. Byrne | Physician Assistant | 1100 S Dobson Rd Ste 203, Chandler, AZ 85286 | 2017-06-27 |
| 1053844183 | Omar Faisal Saleem | Internal Medicine | 1405 S Alma School Road, Attn Amanda Gump/ Hospitalists, Chandler, AZ 85286 | 2017-04-05 |
| 1629427539 | Bryanda Silva | Specialist/Technologist | 2350 E Germann Rd #33, Chandler, AZ 85286 | 2016-06-10 |
| Find all providers in zip 85286 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598118713 | Chandler Kidiatric Dental | Dentist | 224 W Chandler Heights Rd, Chandler, AZ 85248-5072 | 2016-07-22 |
| 1528426962 | Nezahet Mutlu | Dentist | 600 S Dobson Rd Ste C18, Chandler, AZ 85224-5690 | 2016-01-31 |
| 1285022582 | Kids First Pediatric Dentistry | Dentist | 3220 S Gilbert Rd Ste 1, Chandler, AZ 85286-5109 | 2015-01-08 |
| 1417176199 | Scoresby Pediatric Dental | Dentist | 2095 W Frye Rd Ste 2, Chandler, AZ 85224-6280 | 2007-04-24 |
| 1518031632 | Randy M Weinshel | Dentist | 3220 S Gilbert Rd, Suite 1, Chandler, AZ 85286-5109 | 2006-11-20 |
| 1003375965 | Phamous Smiles Family Dentistry LLC | Dentist | 2470 W Ray Rd Ste 1, Chandler, AZ 85224-3557 | 2019-03-19 |
| 1487826533 | Robert W Scoresby | Dentist | 2095 W Frye Rd, Suite 2, Chandler, AZ 85224 | 2008-03-28 |
| 1174700264 | Tyler Lane Carter | Dentist | 3220 S Gilbert Rd, Suite#1, Chandler, AZ 85286-5109 | 2008-01-30 |
| 1891848958 | Shashi M. Kapur | Dentist | 600 S Dobson Rd, Ste. C-18, Chandler, AZ 85224-5678 | 2007-01-19 |
| 1083770614 | Shashi Mohan Kapur | Dentist | 600 S Dobson Rd, Chandler, AZ 85224 | 2006-12-28 |
| Find all providers in CHANDLER | ||||
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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.