# BLOOMING DENTAL & IMPLANT CENTER OF ROCKAWAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528865128
- **Authorized official:** DR. THEODORE CHANG DDS (OWNER DENTIST)
- **Authorized official phone:** (973) 363-0233

## Contact information

- **Practice address:** 321 MOUNT HOPE AVE UNIT Q, ROCKAWAY, NJ 07866-1663
- **Practice address phone:** (973) 363-0233
- **Mailing address:** 31 MILLINGTON DR, MIDLAND PARK, NJ 07432-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 08/06/2026