Organization
BRIDGEWATER-GREENBROOK DENTAL L.L.P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY ROBERT BLOOM D.D.S. (PARTNER)
(732) 968-0086
Entity
Organization
Contact information
Practice address
257 ROUTE 22 EAST, SUITE C, GREEN BROOK, NJ 08812
(732) 968-0086
Mailing address
257 ROUTE 22 EAST, SUITE C, GREEN BROOK, NJ 08812
(732) 968-0086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
14553
NJ
1223P0300X
Periodontics
Primary
14553
NJ
Other
Enumeration date
05/07/2007
Last updated
09/11/2025
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