Individual provider · Type 1 NPI

Debra Blum, DDS

Oral and Maxillofacial Surgery (Dentist) · Forest Hills, NY

NPI number 1629167325 Active

Practice location

10721 Queens Blvd, Suite 3
Forest Hills, NY 11375-4451

Call (718) 268-7400 Map

Fax (718) 739-3769

Mailing address

25 Applegreen Dr
Old Westbury, NY 11568-1202

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X037082-1 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1629167325

Debra Blum, DDS's National Provider Identifier is 1629167325, issued on Oct 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 8, 2007.