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BLOOM DENTAL LLC NPI 1770369092


NPI Information

NPI: 1770369092
Provider Name: BLOOM DENTAL, LLC

Doing Business As: CRYSTAL DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3970 FM 2181 STE 200
HICKORY CREEK, TX
ZIP 75065
Phone: (940) 600-5365
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BLOOM DENTAL, LLC is a general practice dentist in Hickory Creek, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BLOOM DENTAL, LLC NPI is 1770369092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crystal Dentistry.

The provider's business location address is:

3970 FM 2181 STE 200
HICKORY CREEK, TX
ZIP 75065-249
Phone: (940) 600-5365

The provider's authorized official is Alyaa K Mafrag .
The authorized official title is Owner and has the following contact phone number (210) 803-8889.

The enumeration date for this NPI number is 9/1/2023 and was last updated on 4/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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