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

Dr. Theodore A Niebloom, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1689750705

Dr. Theodore A Niebloom, DMD is an Oral and Maxillofacial Surgery (Dentist) in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

101 Old Short Hills Rd
West Orange, NJ 07052
Phone: (973) 736-7616
Fax: (973) 325-3487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 22DI01604200 (NJ)

Record details

NPI number1689750705
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESOctober 5, 2016
Mailing address101 Old Short Hills Road, West Orange, NJ 07052

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