DEBRA BLUM DDS NPI 1629167325

NPI Information

NPI: 1629167325
Provider Name: DEBRA BLUM, DDS
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
Address: 10721 QUEENS BLVD
SUITE 3
FOREST HILLS, NY
ZIP 11375
Phone: (718) 268-7400

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NPI Details

Debra Blum, DDS is an oral and maxillofacial surgery dentist in Forest Hills, NY. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Debra Blum, DDS NPI is 1629167325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10721 QUEENS BLVD
SUITE 3
FOREST HILLS, NY
ZIP 11375-451
Phone: (718) 268-7400
Fax: (718) 739-3769

The enumeration date for this NPI number is 10/12/2006 and was last updated on 7/8/2007.

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
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	037082-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00989437	MEDICAID	NEW YORK
2	86850	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	T97047	MEDICARE UPIN	NEW YORK

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: 3/30/2025

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