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BLOOMFIELD PEDIATRIC DENTISTRY PLLC
NPI 1417452541
Dentist - Pediatric Dentistry in Bloomfield, CT

Active since March 29, 2018
34 JEROME AVE STE 200, BLOOMFIELD, CT 06002(203) 927-0717 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloomfield Pediatric Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMFIELD PEDIATRIC DENTISTRY PLLC (NPI 1417452541) is a healthcare organization registered as a pediatric dentistry in Bloomfield, Connecticut and active in the NPI registry since March 2018. The organization lists John Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1417452541
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameBLOOMFIELD PEDIATRIC DENTISTRY PLLC
Location Address34 JEROME AVE STE 200Bloomfield, CT 06002-2463
Mailing Address138 Balfour DrWest Hartford, CT 06117-2900 · (860) 521-2316
Phone(203) 927-0717
Organization SubpartNo
Authorized OfficialJohn WongOwner · (203) 927-0717
Enumeration DateMarch 29, 2018
✔ NPI 1417452541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CT · 7829
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
34 JEROME AVE STE 200, Bloomfield, CT 06002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMILES IN BLOOM BLOOMFIELD
Dentist (Pediatric Dentistry)
34 JEROME AVE STE 200
BLOOMFIELD, CT 06002
Capitol Planning Region (860) 254-5840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloomfield Pediatric Dentistry PLLC's NPI number?

The NPI number for Bloomfield Pediatric Dentistry PLLC is 1417452541. It was assigned to this organization in the NPPES registry on March 29, 2018.

Where is Bloomfield Pediatric Dentistry PLLC located?

Bloomfield Pediatric Dentistry PLLC is located at 34 Jerome Ave Ste 200, Bloomfield, CT 06002. The listed phone number is (203) 927-0717.

What is Bloomfield Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Bloomfield Pediatric Dentistry PLLC was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.