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

Mitchell Bloom, DMD

Individual provider Periodontics · NPI 1467853408

Mitchell Bloom, DMD is a Periodontics in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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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

Periodontics (primary) Taxonomy 1223P0300X · Licence 045016 (NY)

Record details

NPI number1467853408
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 9, 2014
Last updated in NPPESSeptember 9, 2014
Mailing address880 5th Ave, Suite 1-G, New York, NY 10021-4951

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