Individual provider · Type 1 NPI

Craig Yale Bloom, DMD

Oral and Maxillofacial Surgery (Dentist) · Berkeley, CA

NPI number 1841344751 Active

Practice location

2522 Dana St, Suite 202
Berkeley, CA 94704-2803

Fax (510) 848-9100

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X31571 (CA)

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 1841344751

Craig Yale Bloom, DMD's National Provider Identifier is 1841344751, issued on Jan 22, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Berkeley, CA. The record was last updated on Jul 8, 2007.