Theodore Niebloom, DMD
NPI 1689750705 · Oral and Maxillofacial Surgery (Dentist) · West Orange, NJ
Theodore Niebloom, DMD is a Oral and Maxillofacial Surgery (Dentist) provider in West Orange, NJ (NPI 1689750705).
Provider details
- NPI number
- 1689750705
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 22DI01604200 (NJ)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2016-10-05
Frequently asked questions
- What is Theodore Niebloom's NPI number?
- Theodore Niebloom's National Provider Identifier (NPI) is 1689750705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Niebloom's specialty?
- Theodore Niebloom is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Theodore Niebloom located?
- Theodore Niebloom's practice location on file with NPPES is 101 Old Short Hills Road, West Orange, NJ 07052.
- What is Theodore Niebloom's phone number?
- The practice phone number listed in the NPPES registry for Theodore Niebloom is (973) 736-7616.
- Is Theodore Niebloom's NPI active?
- Yes — Theodore Niebloom's NPI (1689750705) is active in the NPPES registry as of the last update on 2016-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.