Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blooming Dental PLLC

Organization Dentist · NPI 1104189430

Blooming Dental PLLC is a Dentist in New York, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 E 58th St 8th Fl Annex
New York, NY 10155-0002
Phone: (646) 861-2404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 047318 (NY)

Record details

NPI number1104189430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Marcial — Dentist · (646) 861-2404
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012
Mailing address16411 Crocheron Ave, Flushing, NY 11358-2015

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