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 provides Dental Clinic/Center services 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 Not confirmed with CMS for 12 years — call before visiting
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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