Bloom, David Alan

Bloom, David Alan is an sole proprietor health care provider with primary practice located at 2910 Orchard Pl , Orchard Lake MI 48324-2356. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bloom, David Alan can be contacted via phone (248) 613-5554.

Contact Information

Primary practice address
2910 Orchard Pl Orchard Lake MI 48324-2356
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DB010636 Michigan

Profile Details

NPI number 1205048584
LBN Legal business name Bloom, David Alan
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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