NPI 1215950100

William S Bloom, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Warren, MI

Practice location

Address: 11300 East Thirteen Mile Road, Warren, MI 48093
Phone: (586) 573-7777
Fax: (586) 573-7584
Mailing address: 11300 13 Mile Road, Warren, MI 48093

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901010395 (MI)

Other Oral & Maxillofacial Surgery providers in Michigan →

Registry record

NPI: 1215950100
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2006
Record last updated: 8 Jul 2007

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.