NPI 1699261347
Blooming Family Dental LLC
Practice location
- Address
- 749 Bloomfield Ave STE D, West Caldwell, NJ 07006-6717
- Phone
- (646) 673-4496
Authorised official
- Name
- Theodore K Chang
- Title
- Owner
- Phone
- (646) 673-4496
Registered specialties (2)
General Practice Dentistry
Primary
Customized Equipment (DME)
Registry record
- NPI
- 1699261347
- Entity type
- Organization
- NPI issued
- 5 Jul 2018
- Record last updated
- 5 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.