# DR WILLIAM BLOOM & ASSOCIATES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1952696536
- **Authorized official:** DR. WILLIAM S BLOOM DDS (PRESIDENT)
- **Authorized official phone:** (586) 573-7777

## Contact information

- **Practice address:** 11300 E. 13 MILE RD., WARREN, MI 48093
- **Practice address phone:** (586) 573-7777
- **Practice address fax:** (586) 573-7584
- **Mailing address:** 11300 EAST 13 MILE RD., WARREN, MI 48093
- **Mailing address phone:** (586) 573-7777
- **Mailing address fax:** (586) 573-7584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901010395 | MI | Yes |

## Other

- **Enumeration date:** 06/13/2011
- **Last updated:** 09/01/2011