Whalio Doctors

NPI 1699261347

Blooming Family Dental LLC

Organisation General Practice Dentistry West Caldwell, NJ

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
Dental Providers Taxonomy 1223G0001X Licence 22DI02565000 (NJ)
Customized Equipment (DME)
Suppliers Taxonomy 332BC3200X

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.