Organization · Type 2 NPI
Blossom Dental Inc
Dental Clinic/Center · Jackson Heights, NY
NPI number
1497653604
Active
Practice location
8420 Roosevelt Ave Fl 2
Jackson Heights, NY 11372-7341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1497653604
Blossom Dental Inc's National Provider Identifier is 1497653604, issued on Oct 28, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jackson Heights, NY. The record was last updated on Oct 28, 2026.