# THOMAS J. BLOEM DDS MS PC

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

## Provider details

- **NPI number:** 1992913784
- **Authorized official:** DR. THOMAS J BLOEM DDS, MS (PRESIDENT)
- **Authorized official phone:** (734) 995-4699

## Contact information

- **Practice address:** 5340 PLYMOUTH RD, SUITE 110, ANN ARBOR, MI 48105-9341
- **Practice address phone:** (734) 995-4699
- **Practice address fax:** (734) 995-9685
- **Mailing address:** 5340 PLYMOUTH RD, SUITE 110, ANN ARBOR, MI 48105-9341
- **Mailing address phone:** (734) 995-4699
- **Mailing address fax:** (734) 995-9685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 2901011268 | MI | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020