MITCHELL BLOOM D.M.D.
NPI 1467853408
Dentist - Periodontics in New York, NY

Active since September 09, 2014
880 5TH AVE, SUITE 1-G, NEW YORK, NY 10021(212) 327-2623 Get Directions Write a Review

NPPES record last updated: September 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitchell Bloom D.m.d. NPPES

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

MITCHELL BLOOM D.M.D. (NPI 1467853408) is an individual periodontics provider in New York, New York, licensed in New York (045016) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1467853408
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameMITCHELL BLOOMCredential: D.M.D.
Location Address880 5TH AVE, SUITE 1-GNew York, NY 10021-4951
Mailing Address880 5th Ave, Suite 1-gNew York, NY 10021-4951 · (212) 327-2623
Sole ProprietorYes
Enumeration DateSeptember 9, 2014
NPI 1467853408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NY · 045016
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
880 5TH AVE, New York, NY 10021

Other Providers at the Same Location NPPES 7

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

Clinical Medical Laboratory
880 5TH AVE
NEW YORK, NY 10021
Plastic Surgery
880 5TH AVE, SUITE 1ABCD
NEW YORK, NY 10021
Obstetrics & Gynecology
880 5TH AVE, SUITE 1H
NEW YORK, NY 10021
Clinic/Center (Dental)
880 5TH AVE, SUITE 1-G
NEW YORK, NY 10021
Specialist
880 5TH AVE
NEW YORK, NY 10021
Dentist (Orthodontics and Dentofacial Orthopedics)
880 5TH AVE
NEW YORK, NY 10021
Dentist (Orthodontics and Dentofacial Orthopedics)
880 5TH AVE
NEW YORK, NY 10021

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 Mitchell Bloom's NPI number?

The NPI number for Mitchell Bloom is 1467853408. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Mitchell Bloom located?

Mitchell Bloom practices at 880 5th Ave Suite 1-G, New York, NY 10021. The listed phone number is (212) 327-2623.

What is Mitchell Bloom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Mitchell Bloom was last updated on September 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.