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

Mitchell J. Bloom, DMD, PC

Organization Dental Clinic/Center · NPI 1366513194

Mitchell J. Bloom, DMD, PC is a Dental Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

880 5th Ave Ste 1-G
New York, NY 10021-4951
Phone: (212) 327-2623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 045016 (NY)

Record details

NPI number1366513194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Bloom — President · (212) 327-3623
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 30, 2014
Mailing address880 5th Ave, Suite 1-G, New York, NY 10021-4951

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