IndividualActive
William Bloom, DDS
NPI 1215950100 · Oral & Maxillofacial Surgery (D.M.D.) · Warren, MI
Provider details
- NPI number
- 1215950100
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2901010395 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11300 East Thirteen Mile Road
Warren, MI 48093
Phone: (586) 573-7777
Fax: (586) 573-7584
Approximate (ZIP-level) locationGet directions
Mailing address
11300 13 Mile Road
Warren, MI 48093
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.