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Bloomfield Dental Designs

Clinic/Center, Dental in Bloomfield, NJ. Organization (NPI-2).

NPI number1003230293
StatusActive
Last updated in NPPESFeb 10, 2014

Details

NPI
1003230293
Entity type
Organization (NPI-2)
Legal business name
Bloomfield Dental Designs
Organization subpart
No
Enumeration date
Feb 10, 2014
Last updated
Feb 10, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental22Di02366100NJYes

Practice location

10 Washington St
Bloomfield, NJ 07003-3412

Phone 973-743-3930

Mailing address

20 Mount Vernon Sq
Verona, NJ 07044-2924

Phone 201-724-2895

Authorized official

Boris Alvarez
DDS
2017242895

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Clinic/Center providers in Bloomfield, NJ

All 5 Dental Clinic/Center providers in Bloomfield · All 1,099 providers in Bloomfield

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