OrganizationActive
Blooming Dental PLLC
NPI 1104189430 · Dentist · New York, NY
Blooming Dental PLLC is a Dentist organization in New York, NY (NPI 1104189430).
Provider details
- NPI number
- 1104189430
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Maria Marcial, Dentist(646) 861-2404
- License
- 047318 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 E 58th St
8th Floor Annex
New York, NY 10155-0002
Phone: (646) 861-2404
Street-level locationGet directions
Mailing address
16411 Crocheron Ave
Flushing, NY 11358-2015
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2012-06-21
Frequently asked questions
- What is Blooming Dental PLLC's NPI number?
- Blooming Dental PLLC's National Provider Identifier (NPI) is 1104189430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blooming Dental PLLC?
- Blooming Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Blooming Dental PLLC located?
- Blooming Dental PLLC's practice location on file with NPPES is 150 E 58th St, New York, NY 10155-0002.
- What is Blooming Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blooming Dental PLLC is (646) 861-2404.
- Who is the authorized official for Blooming Dental PLLC?
- The authorized official listed on Blooming Dental PLLC's NPPES record is Maria Marcial, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blooming Dental PLLC's NPI active?
- Yes — Blooming Dental PLLC's NPI (1104189430) is active in the NPPES registry as of the last update on 2012-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.