Bloom Pediatric Dentistry

LBN: Bloom Pediatric Dentistry, Pllc
Bloom Pediatric Dentistry is an health care organization with primary practice located at 1900 W Germann Rd Ste 3 , Chandler AZ 85286-6838. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Bloom Pediatric Dentistry, Pllc can be contacted via phone (480) 867-7355, or through Lee, Janelle Unhae via phone (480) 867-7355.

Contact Information

Primary practice address
1900 W Germann Rd Ste 3 Chandler AZ 85286-6838
Fax: (480) 907-1888
Website:
Authorized official contact:
Name: Lee, Janelle Unhae DDS, MSD

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D009485 Arizona

Profile Details

NPI number 1578061925
LBN Legal business name Bloom Pediatric Dentistry, Pllc
DBA Doing business as Bloom Pediatric Dentistry
Authorized official Lee, Janelle Unhae DDS, MSD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2018
Last updated Jan 30th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578061925 NPPES
Arizona MEDICAID 154524

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