Bloom, Todd Evan
Bloom, Todd Evan is an individual health care provider with primary practice located at 1305 Post Rd Suite 303, Fairfield CT 06824-6016. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bloom, Todd Evan can be contacted via phone (203) 259-2227.Contact Information
Primary practice address
1305 Post Rd Suite 303
Fairfield CT 06824-6016
Phone: (203) 259-2227
Fax: (203) 259-2218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9276 | Connecticut |
Profile Details
| NPI number | 1972559391 |
|---|---|
| LBN Legal business name | Bloom, Todd Evan |
| Credentials | M.S., D.D.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Dec 19th, 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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